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The RAND/UCLA Appropriateness Method User's Manual
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TLDR
The "RAND/UCLA Appropriateness Method" was developed by RAND and UCLA in the 198Os and has been further developed and refined in North America and, increasingly, in Europe.Abstract:
: The concepts of appropriate and necessary care are fundamental to the creation of an efficient and equitable health-care delivery system Evidence of inappropriate overuse and underuse of procedures has been documented even in health systems characterised by the absence of global budgets, capitation, utilisation review or the pressure of requiring a second opinion Health systems should function in such a way that inappropriate care is progressively reduced, while appropriate and especially necessary care are maintained or increased The ability to determine and identify which care is overused and which is underused is essential to this functioning To this end, the "RAND/UCLA Appropriateness Method" (here given the acronym RAM) was developed by RAND and UCLA in the 198Os It has been further developed and refined in North America and, increasingly, in Europeread more
Citations
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Journal ArticleDOI
Rules for Scoring Respiratory Events in Sleep: Update of the 2007 AASM Manual for the Scoring of Sleep and Associated Events
Richard B. Berry,Rohit Budhiraja,Daniel J. Gottlieb,David Gozal,Conrad Iber,Vishesh K. Kapur,Carole L. Marcus,Reena Mehra,Sairam Parthasarathy,Stuart F. Quan,Susan Redline,Kingman P. Strohl,Sally L. Davidson Ward,Michelle M. Tangredi +13 more
TL;DR: The task force made recommendations concerning recommended and alternative sensors for the detection of apnea and hypopnea to be used during diagnostic and positive airway pressure (PAP) titration polysomnography, and recommended scoring rules.
Journal ArticleDOI
National Sleep Foundation’s sleep time duration recommendations: methodology and results summary
Max Hirshkowitz,Max Hirshkowitz,Kaitlyn Whiton,Steven M. Albert,Cathy A. Alessi,Oliviero Bruni,Lydia L. DonCarlos,Nancy Hazen,John H. Herman,Eliot S. Katz,Leila Kheirandish-Gozal,David N. Neubauer,Anne E. O'Donnell,Maurice M. Ohayon,John H. Peever,Robert Rawding,Ramesh Sachdeva,Belinda Setters,Michael V. Vitiello,J. Catesby Ware,Paula J. Adams Hillard +20 more
TL;DR: A scientifically rigorous update to the National Sleep Foundation's sleep duration recommendations, determined expert recommendations for sufficient sleep durations across the lifespan using the RAND/UCLA Appropriateness Method.
Journal ArticleDOI
OARSI guidelines for the non-surgical management of knee osteoarthritis
Timothy E. McAlindon,Raveendhara R. Bannuru,Matthew C. Sullivan,Nigel K Arden,Francis Berenbaum,Sita M A Bierma-Zeinstra,Gillian A. Hawker,Yves Henrotin,Yves Henrotin,David J. Hunter,Hiroshi Kawaguchi,Kent Kwoh,Stefan Lohmander,François Rannou,Ewa M. Roos,Martin Underwood +15 more
TL;DR: These evidence-based consensus recommendations provide guidance to patients and practitioners on treatments applicable to all individuals with knee OA, as well as therapies that can be considered according to individualized patient needs and preferences.
Journal ArticleDOI
International evidence-based recommendations for point-of-care lung ultrasound.
Giovanni Volpicelli,Mahmoud Elbarbary,Michael Blaivas,Daniel Lichtenstein,Gebhard Mathis,Andrew W. Kirkpatrick,Lawrence Melniker,Luna Gargani,Vicki E. Noble,Gabriele Via,Anthony J. Dean,James W. Tsung,Gino Soldati,Roberto Copetti,Belaid Bouhemad,Angelika Reissig,Eustachio Agricola,Jean-Jacques Rouby,Charlotte Arbelot,Andrew S. Liteplo,Ashot E. Sargsyan,Fernando Silva,Richard Hoppmann,Raoul Breitkreutz,Armin Seibel,Luca Neri,Enrico Storti,Tomislav Petrovic +27 more
TL;DR: This document reflects the overall results of the first consensus conference on “point-of-care” lung ultrasound and utilizes the RAND appropriateness method for panel judgment and decisions/consensus.
Journal ArticleDOI
The MATRICS Consensus Cognitive Battery, Part 1: Test Selection, Reliability, and Validity
Keith H. Nuechterlein,Michael F. Green,Robert S. Kern,Lyle E. Baade,M Deanna,Jonathan D. Cohen,Susan M. Essock,Wayne S. Fenton,Frederick J. Frese,James M. Gold,Terry E. Goldberg,Robert K. Heaton,Richard S.E. Keefe,Helena C. Kraemer,Raquelle I. Mesholam-Gately,Larry J. Seidman,Ellen Stover,Daniel R. Weinberger,Alexander S. Young,Steven Zalcman,Stephen R. Marder +20 more
TL;DR: The MATRICS Consensus Cognitive Battery is expected to be the standard tool for assessing cognitive change in clinical trials of cognition-enhancing drugs for schizophrenia and may also aid evaluation of cognitive remediation strategies.
References
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Book
the delphi method: techniques and applications
Harold A. Linstone,Murray Turoff +1 more
TL;DR: The present model clarifies some of the conceptual problems associated with cross-impact analysis, and supplies a relatively sound basis for revising probability estimates in the limited case where interactions can be approximated by relative probabilities.
Journal ArticleDOI
Consensus methods: characteristics and guidelines for use.
TL;DR: The characteristics of several major methods (Delphi, Nominal Group, and models developed by the National Institutes of Health and Glaser) are surveyed and guidelines for those who want to use the techniques are provided.
Journal ArticleDOI
A method for the detailed assessment of the appropriateness of medical technologies.
Robert H. Brook,Mark R. Chassin,Arlene Fink,David H. Solomon,Jacqueline Kosecoff,Rolla Edward Park +5 more
TL;DR: The standard way to assess medical technologies is to conduct a randomized clinical trial as mentioned in this paper, where patients are randomly assigned to groups receiving alternative treatments, and outcomes are monitored over a long period of time.
Journal ArticleDOI
The Cochrane Collaboration: Preparing, Maintaining, and Disseminating Systematic Reviews of the Effects of Health Care
TL;DR: The Cochrane Collaboration has evolved in response to this challenge and will eventually cover all areas of health care and contributors in many countries and specialties are preparing and maintaining systematic reviews of RCTs, and reviews of other evidence when appropriate.
Journal ArticleDOI
Does inappropriate use explain geographic variations in the use of health care services? A study of three procedures.
Mark R. Chassin,Jacqueline Kosecoff,Rolla Edward Park,Constance M. Winslow,Katherine L. Kahn,Nancy J. Merrick,Joan Keesey,Arlene Fink,David H. Solomon,Robert H. Brook +9 more
TL;DR: It is concluded that differences in appropriateness cannot explain geographic variations in the use of these procedures.