Health services research in urology
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Health services research (HSR) is increasingly important given the focus on patient-centered, cost-effective, high-quality health care. We examine how HSR affects contemporary evidence-based urologic practice and its role in shaping future urologic research and care.
PubMed, urologic texts, and lay literature were reviewed for terms pertaining to HSR/outcomes research and urologic disease processes.
HSR is a broad discipline that focuses on access, cost, and outcomes of Health care. Its use has been applied to a myriad of urologic conditions to identify deficiencies in access, to evaluate cost-effectiveness of therapies, and to evaluate structural, process, and outcome quality measures.
HSR utilizes an evidence-based approach to identify the most effective ways to organize/manage, finance, and deliver high-quality urologic care and to tailor care optimized to individuals.
KeywordsHealth services Outcomes Access Cost Quality
- 1.Preparing for a career in health services research: opportunities for minority students (2009). http://www.ahrq.gov/fund/minortrg.htm
- 2.Litwin MS (2007) Outcomes research. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA (eds) Campbell-Walsh urology, 9th edn. Elsevier, Amsterdam, pp 144–158Google Scholar
- 6.The Dartmouth atlas of health care (2011). http://www.dartmouthatlas.org/
- 7.Goodman DC, Chang CH, Fisher ES (2010) Regional and racial variation in primary care and the quality of care among medicare beneficiaries. http://www.dartmouthatlas.org/downloads/reports/Primary_care_report_090910.pdf
- 9.Jayadevappa R, Chhatre S, Johnson JC, Malkowicz SB (2010) Variation in quality of care among older men with localized prostate cancer. Cancer [Epub ahead of print]Google Scholar
- 19.The leapfrog group (2011). http://www.leapfroggroup.org/home
- 21.Lavery HJ, Brajtbord JS, Levinson AW, Nabizada-Pace F, Pollard ME, Samadi DB (2010) Unnecessary imaging for the staging of low-risk prostate cancer is common. Urology [Epub ahead of print]Google Scholar
- 23.Madeb R, Golijanin D, Noyes K, Fisher S, Stephenson JJ, Long SR, Knopf J, Lyman GH, Messing EM (2009) Treatment of nonmuscle invading bladder cancer: do physicians in the United States practice evidence based medicine? The use and economic implications of intravesical chemotherapy after transurethral resection of bladder tumors. Cancer 115(12):2660–2670PubMedCrossRefGoogle Scholar
- 25.Sanda MG, Dunn RL, Michalski J, Sandler HM, Northouse L, Hembroff L, Lin X, Greenfield TK, Litwin MS, Saigal CS, Mahadevan A, Klein E, Kibel A, Pisters LL, Kuban D, Kaplan I, Wood D, Ciezki J, Shah N, Wei JT (2008) Quality of life and satisfaction with outcome among prostate-cancer survivors. N Engl J Med 358(12):1250–1261PubMedCrossRefGoogle Scholar