Conclusions: NLM Author information: (1)Center for Healthcare Policy and Research, University of California-Davis, UC Davis Medical Center, 2103 Stockton Blvd., Sacramento, CA 95817, USA. Data from fair-and good-quality trials were abstracted into standardized forms and checked by another investigator. From a total of 905 eligible references, 99 studies showed minimal diagnostic value of tests to distinguish urodynamic stress or urgency UI; 57 studies suggested specific ranges of improvement in UI frequency (based on voiding diaries) that women considered important, as well as the value of quality-of-life assessment with validated checklists or scales. This site needs JavaScript to work properly. In 2018, Congress directed the Agency for Healthcare Research and Quality (AHRQ) to commission an independent assessment of federally funded health services research (HSR) and primary care research (PCR) conducted between 2012 and 2018 to increase the impact of research by identifying research gaps and proposing strategies for better coordination across the Federal enterprise. Results: [1], 39.062254-77.112757Koordinaten: 39° 3′ 44,1″ N, 77° 6′ 45,9″ W, Ministerium für Gesundheitspflege und Soziale Dienste der Vereinigten Staaten, http://www.leitlinien.de/glossar/ahrq-agency-for-healthcare-research-and-quality, https://de.wikipedia.org/w/index.php?title=Agency_for_Healthcare_Research_and_Quality&oldid=185293540, Organisation (Montgomery County, Maryland), „Creative Commons Attribution/Share Alike“. Februar 2019 um 19:57 Uhr bearbeitet. Zrelak PA(1), Utter GH, Sadeghi B, Cuny J, Baron R, Romano PS. Rockville (MD): Agency for Healthcare Research and Quality (US); 2012 Sep. Report No. Improvement in UI and quality of life were examined using different definitions, which hampered the synthesis of evidence. W��*��w6PH/��w�5Pp�� 6�g#�aEˆ[x^���� n$��n�l�Ҡ��zZ߬�CƓx&��?C+�A6B�7��,�"8l&���J�Q�����������P�t{ @r�� ŝl\En�o݈ȳ*�gw��^_yc�6��m�7 ����5���>n��U�˪�ٲ�m�fvw�Շ�����&?V��r/�ZF��è� ��Q��(=�h� ��z�屑Qeˌ�^�z��+��6ǧ�����3����0E�OMe?�����n�u1���b�4eЀf��&����(�}h���+�5��oS篶V��^����ِ$d The Report Expenditures and Results tool allows users to search a repository of NIH-funded research projects and access publications and patents resulting from NIH funding. Read full-text medical journal articles from Medscape's Agency for Healthcare Research and Quality (AHRQ). Get the latest research from NIH: https://www.nih.gov/coronavirus. USA.gov. The Report Catalog is a menu driven interface geared for the NIH familiar user to provide customized reporting. Enhancing cross-agency coordination and more sophisticated data systems would lead to improved impact through better prioritization, tracking, and collaboration. Evidence for IMT and other breathing retraining techniques was limited to small, heterogeneous trials providing insufficient evidence to determine effectiveness.  |  A coordinating center for PCR is needed to adequately support research on core functions of primary care and coordinate and prioritize PCR across HHS. Final Report Early Evidence on the Patient-Centered Medical Home ... February 2012 . Quick access to statistics from the NIH Data Book and annual reports produced by the NIH OER’s Division of Information Services. Two investigators reviewed full-text articles and independently quality-rated those meeting inclusion criteria. Options for improving the outcomes, value, and impact of future research.  |  Consolidates all information about NIH-supported extramural organizations in a single tool. �&�l�6����l~�iŧ�s�|���d��3 HHS should explore methods for funding both HSR and PCR that support more rapid, engaged approaches, such as learning health system models, and find new approaches to dissemination to improve healthcare for all Americans. %PDF-1.6 %���� Conclusions: Clipboard, Search History, and several other advanced features are temporarily unavailable. Behavioral approaches that include hyperventilation reduction techniques can improve asthma symptoms or reduce reliever medication use over 6 to 12 months in adults with poorly controlled asthma and have no known harmful effects. Limited evidence suggested yoga breathing may improve pulmonary function in adults in addition to reducing asthma symptoms, but medication use was rarely reported and applicability to the United States was very low. endstream endobj startxref Get the latest research from NIH: https://www.nih.gov/coronavirus. We searched major electronic bibliographic databases, the FDA (Food and Drug Administration) reviews, trial registries, and research grant databases up to December 30, 2011. Review Methods:  |  Benefits from drugs are small. We identified four types of interventions: hyperventilation reduction breathing techniques, yoga breathing techniques, inspiratory muscle training (IMT), and other nonhyperventilation reduction breathing techniques. Please enable it to take advantage of the complete set of features! HSR has made a difference in patients’ lives and is vital for improving the quality, safety, and value of healthcare for all Americans. ]n��{�^B|H���!�!����7�����Z� ��=3q~��&�pE#�2�� Data Sources: Evidence supporting yoga breathing is weaker and applicability to the United States is very low. Objectives: Clipboard, Search History, and several other advanced features are temporarily unavailable. Please enable it to take advantage of the complete set of features! Almost all trials were limited entirely or primarily to adults. Methods: There are opportunities for new types of HSR that can improve HSR’s impact. Benefits from pelvic floor muscle training, bladder training, and electrical stimulation are large, and adverse effects are uncommon. H�*�2P0P034R0�4R(J� AHRQ Comparative Effectiveness Reviews. 2521 0 obj <>stream Author … These impacts are often cumulative across agencies’ portfolios. This document is in the public domain and may be … The Agency for Healthcare Research and Quality's (AHRQ) mission is to produce evidence to make health care safer, higher quality, more accessible, equitable, and affordable, and to work within the U.S. Department of Health and Human Services and with other partners to make sure that the evidence is understood and used. Objectives: However, available evidence is limited in its strength and applicability to the United States. Report No. : 11(12)-EHC074-EF. Provides basic summary statistics on extramural grants and contract awards. In 2018, Congress directed the Agency for Healthcare Research and Quality (AHRQ) to commission an independent assessment of federally funded health services research (HSR) and primary care research (PCR) since 2012 to identify research gaps and to propose strategies for better coordination across the Federal enterprise. AHRQ is excited to work with our Federal partners and stakeholders to analyze the potential of these recommendations to increase the impact in HSR and PCR across the Federal enterprise in order to achieve our goal of improving healthcare for all Americans. AHRQ is the only Agency that has statutory authorization to generate HSR, with a focus on system-based outcomes. Rockville, MD 20857 }C��o]�:�#��Brl���.��I6�������6�͈p�D��lj�WVymhG����:�?��V�z_�MV⣓����$�YIB%�;���)_��i13t���n!�1L��Ha�P@ ����{�@P����%>Q��Y����2g#LJ�⎜�ϓ��UoU���t���k�OR#�H"�wNՏ�xk���_���/:y:q�AY�r���d�Φ�!��$LK�Nv�;He^��j-�l�R�xi쐦ȗ�8�$�>%Y;[&u���Ү��"��]d��C\�a���ki��)1�����e� COVID-19 is an emerging, rapidly evolving situation. : 12-EHC092-EF. https://www.ahrq.gov/healthsystemsresearch/hspc-research-study/index.html. Њ Ihr Sitz ist Rockville, Maryland. A systematic review of diagnostic studies and therapeutic randomized and nonrandomized studies published in English was performed to synthesize diagnostic accuracy; minimally clinically important differences in validated tools for diagnosing UI; and rates of continence, improvements in UI, and harms of examined treatments. Using the Agency for Healthcare Research and Quality patient safety indicators for targeting nursing quality improvement. Internet Citation: Health Services and Primary Care Research Study. Data Sources: The Agency for Healthcare Research and Quality (AHRQ) Quality Indicators (QIs) represent quality measures that make use of a hospital's available administrative data to inform improvement. These include making healthcare safer, higher quality, more accessible, equitable, and affordable, as well as approaches to implementing improvements across U.S. healthcare settings and populations. Overlap and coordination that occurs between research portfolios. Sie unterhält verschiedene Programme, um die Qualität im amerikanischen Gesundheitswesen zu verbessern. Sie unterhält verschiedene Programme, um die Qualität im amerikanischen Gesundheitswesen zu verbessern.  |  C AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund. To sign up for updates or to access your subscriberpreferences, please enter your email address below. Hyperventilation reduction interventions (particularly those with 5 hours or more of patient contact) achieved medium to large improvements in asthma symptoms and reductions in reliever medication use of approximately 1.5 to 2.5 puffs per day, but did not improve pulmonary function. Rockville (MD): Agency for Healthcare Research and Quality (US); 2012 Apr. Source: Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project (HCUP), Kids’ Inpatient Database (KID), 2012,and National Inpatient Sample (NIS), 2012 In 2012 there were nearly 5.9 million hospital stays for children in the United States. %%EOF While the study builds upon the 2018 National Academies of Medicine “Future of HSR” report, the RAND study is the first attempt to categorize HSR projects funded by HHS agencies according to their audiences and topic areas. AHRQ Comparative Effectiveness Reviews. PCR is critical and underfunded, but has likewise had a significant impact on patients’ lives and the quality, safety, and value of the healthcare services they receive. To examine evidence for whether breathing exercises and retraining techniques lead to improvements in asthma symptoms, reductions in asthma medication use, improved quality of life, or improved pulmonary function in asthma sufferers.