Health Care Needs Assessment The Epidemiologically Based Needs Assessment Review 1st Edition by James Raferty, Andrew Stevens ISBN 9781315379029 1315379023

Health Care Needs Assessment The Epidemiologically Based Needs Assessment Review 1st Edition by James Raferty, Andrew Stevens- Ebook PDF Instant Download/Delivery: 9781315379029, 1315379023

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Product details:

ISBN 10:  1315379023

ISBN 13:  9781315379029

Author: James Raferty, Andrew Stevens

 This book forms part of the second series of health care needs assessment reviews. The first series, published in 1994, comprises reviews of 20 diseases, interventions or services selected for their importance to purchasers of health care. Importance is defined in terms of burden of disease (mortality, morbidity and cost), the likely scope for changing patterns of purchasing and the wish to see a wide range of topics to test the method used for needs assessment. The first series also includes an introductory chapter, explaining the background to needs assessment and a conclusive chapter, bringing together the main findings of the disease reviews. 
The eight reports have been chosen, using the same importance criteria to increase the coverage of all health service activity. There has been a small change in emphasis, away from disease groups (strictly Breast Cancer only), to services and in some cases entire specialties (Dermatology and Gynaecology). The change has been partly to maintain coverage of substantial areas in each report (where otherwise a relatively small disease group would now require an individual chapter) and also to reflect the wishes of the users for the topic areas to be consistent with the scope of purchasing plans if at all possible. 
As before the authors have been selected on the basis of academic expertise and each chapter is the work of individual authors. The reviews do not necessarily reflect the views of the National Health Service Executive that sponsored the project, nor indeed the current professional consensus. Each review should be in no way regarded as setting norms; rather it should be used as a valuable source of evidence and arguments on which purchasing authorities may base their decisions. 
There have been other changes since the first series which have influenced the range of reviews and the content of individual reviews. First districts have merged and a population base of 250 000 is no longer the norm. Denominators are now expressed as per 100000, or per million population. Second the term purchasers no longer strictly means just district health authorities. Some small steps have therefore been taken in the direction of making the material relevant to primary care purchasing. This is particularly so in the Low Back Pain review, in which the focus is on the presenting symptom as in general practice rather than on a confirmed diagnosis following secondary care. Third the science of systematic reviews and meta-analyses has developed remarkably since the production of the first series. While this important development has been of great use to purchasers, the role of the needs assessment in covering entire disease and service areas remains unique. Both objectives of providing baseline information for purchasers to assist with the knowledge-base of all the processes around purchasing and designing a method for needs assessment have largely been vindicated by comments received on the first series and the demand for a second series. 
The editors wish to acknowledge the contribution of those who helped with the origination of the project: Graham Winyard, Mike Dunning, Deirdre Cunningham and Azim Lakhani; and also members of the current Steering Group: Mark Charny, Anne Kauder and Graham Bickler; as well as those at Wessex who have enabled the project to run smoothly: Ros Liddiard, Pat Barrett and Melanie Corris.

Table of contents:

 Introduction

Accident and Emergency Departments

1. Summary

2. The problem and its context

3. Sub-categories

4. Incidence and prevalence of conditions needing A and E department management

5. Services available and their utilization

6. Effectiveness and costs of A and E departments

7. Models of care

8. Outcomes and targets

9. Information

10. Research needs

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Tags: James Raferty, Andrew Stevens, Health Care Needs Assessment, Epidemiologically Based, Needs Assessment, Review