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  • Cambridge University Press (CUP)  (2)
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  • Cambridge University Press (CUP)  (2)
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  • 1
    Online Resource
    Online Resource
    Improving the process of developing technical reports for health care decision-makers: Using the Theory of Constraints in the Evidence-Based Practice Centers
    Cambridge University Press (CUP) ; 2006
    In:  International Journal of Technology Assessment in Health Care Vol. 22, No. 1 ( 2006-01), p. 26-32
    Details
    In: International Journal of Technology Assessment in Health Care, Cambridge University Press (CUP), Vol. 22, No. 1 ( 2006-01), p. 26-32
    Abstract: Objectives: To apply the Theory of Constraints (TOC) to the Evidence-based Practice Center (EPC) process. Methods: Participants in the EPC process were interviewed, and the technical contracting literature was reviewed. Undesirable effects (UDEs) that might occur in the EPC process were identified and, in a TOC Current Reality Tree (CRT), a fundamental UDE was selected and tracked back to potential root causes, focusing on the core “constraint.” The resulting draft CRT was presented at an EPC directors' meeting and finalized. From possible solutions obtained from interviews and literature, a Future Reality Tree (FRT) was constructed. Results: Three UDEs were identified and that a report is not used was deemed fundamentally undesirable. Nine root causes were identified, and using the CRT, a core constraint emerged: EPC partner does not know how to conceptualize and articulate needs, objectives, and specifications . Two change strategies (“injections”) appeared to address the core constraint: establish an ongoing relationship between partners, EPC, and Agency for Healthcare Research and Quality early in the process , and use a changes clause ; in a FRT the injections lead to the positive outcome—the production of a successful EPC report that meets partner needs and, therefore, will be used . Conclusions: As with any complex enterprise, the EPC needs to engage in self-reflection and active improvement to maximize its value. The development of technical reports intended to inform decision making represents a complicated area, involving a network of interrelated processes. Using the TOC permitted us to understand process failures; results serve as a guide to improvement.
    Type of Medium: Online Resource
    ISSN: 0266-4623 , 1471-6348
    URL: Article
    DOI: 10.1017/S026646230605080X
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2006
    detail.hit.zdb_id: 2020486-3
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    Online Resource
  • 2
    Online Resource
    Online Resource
    Evidence-Based Practice Center network and health technology assessment in the United States: Bridging the cultural gap
    Cambridge University Press (CUP) ; 2006
    In:  International Journal of Technology Assessment in Health Care Vol. 22, No. 1 ( 2006-01), p. 33-38
    Details
    In: International Journal of Technology Assessment in Health Care, Cambridge University Press (CUP), Vol. 22, No. 1 ( 2006-01), p. 33-38
    Abstract: Objectives: The purpose of this study was to identify the Evidence-Based Practice Center (EPC) network participants' perceptions of the characteristics of the EPC process and the relationship of the process to the success of EPC reports. Methods: Semistructured interviews were conducted with the three groups involved in the EPC: EPC staff, Agency for Healthcare Research and Quality (AHRQ) staff, and representatives of partner organizations. Results: The analysis of the coded transcripts revealed three related major themes, which form the conceptual basis for the interpretation presented here: the definition of a successful report, the determinants of a successful report, and the role of AHRQ in the process. Conclusions: A successful report is a report that is used. The ultimate success of the core health technology assessment objective, moving from research to policy, depends on balancing two values: excellence and relevance. Our findings are consistent with the “two communities thesis,” which postulates the existence of two camps that confer different values to excellence and relevance, with resulting tension. A promising model for approaching this tension is integration or collaboration, which requires linking researchers and policy makers, promoting productive dialogues about the formulation and timing of analysis, and early consideration of how the resulting analysis will be used. This effort suggests that actively blurring the frontiers between these two groups will enhance their interaction. Furthermore, enhancing the role of the AHRQ as scientific broker will maximize the potential of the EPC network.
    Type of Medium: Online Resource
    ISSN: 0266-4623 , 1471-6348
    URL: Article
    DOI: 10.1017/S0266462306050811
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2006
    detail.hit.zdb_id: 2020486-3
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
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