Lemieux group

The impact of context on evidence utilization: A framework for expert groups developing health policy recommendations [An article from: Social Science & Medicine]
$7.95
This digital document is a journal article from Social Science & Medicine, published by Elsevier in 2006. The article is delivered in HTML format and is available in your Amazon.com Media Library immediately after purchase. You can view it with any web browser.

Description:
Should the same evidence lead to the same decision outcomes in different decision-making contexts? In order to improve comprehension of this issue, this study considers how context influences evidence utilization in the development of health policy recommendations. We used an embedded multiple case study design to study how four expert groups formulated policy recommendations for breast, cervical, colorectal, and prostate cancer screening in Ontario, Canada. We interviewed expert group members and analysed meeting agendas/minutes, interim/final reports and other case-related documents. Our analyses revealed varying policy objectives; the use, neglect, or overextended consideration of three key decision support tools; the varying skills/abilities of expert group members in using different decision support tools; the varying impact of effect modifiers, resource constraints and political interests; and the differing development/consideration of context-specific evidence to address uncertainty in the external decision-making context. While more work is needed to determine if these findings are generalizable beyond cancer screening policy, we believe the central challenge for evidence-based policy is not to develop international evidence, but rather to develop more systematic, rigorous, and global methods for identifying, interpreting, and applying evidence in different decision-making contexts. Our analyses suggest that identification of evidence must distinguish between different policy objectives in order to link a broad conceptualization of evidence to appropriate policy questions. Interpretation of evidence must acknowledge the varying nature of evidence for different policy objectives, balancing existing emphasis on evidentiary quality with more sophisticated methods for assessing the generalizability of evidence. The application of evidence must also acknowledge different policy objectives, appropriately employing rule-based grading schemes and agreement-based consensus methods that are sensitive to the nature of the evidence and contexts involved.

Sidney Crosby and Mario Lemieux 2005 / 2006 "Group Shot" Double Matted 8" x 10" Photograph Black An
$40.00
Enjoy this photograph featuring NHL players Sidney Crosby and Mario Lemieux of the Pittsburgh Penguins. A great collector's piece for all Pittsburgh Penguins fans!About this photo: OFFICIALLY LICENSED Photo Custom printed and cropped on high-gloss photographic paper Mounted in an acid-free mat with precision cut beveled edges Made in a custom photographic lab, not on a printing press Each game-action or portrait photograph was taken by a professional photographer Photo File is an authorized licensee for this photo Outside matte is eggshell white with a black interior matte.Black anodized aluminum frame Size with frame is 11"x14"Note: This is an unautographed photograph.

Mommy
$19.95
Psycho moms are fun. Who wouldn't want a mommy who's always on your side and won't let anyone hurt you? Jessica isn't appreciative of her mother's violent tendencies, but we never understand our parents when we're young. She'll realize how wonderful her Mommy is when she inevitably turns into her, as all of us young women do.

I was disappointed with the writing style, however: It's as if a teenager wrote this book. Collins had a good idea but his technique is lacking. Also, like many authors, he doesn't grasp childhood; many authors seem to make their young characters smarter and much more mature than most kids are. That's fine once in a while, but it happens all too often.

Mommy is more of a villain in MOMMY than she is in MOMMY'S DAY, but she will fulfill your fantasies of the mom who will stand up for you. We should all have mommies who care so much.

Jessica better learn to appreciate her mother soon, though. She doesn't want Mommy to get mad at her. When the person who loves you turns on you, who do you turn to?

Hey, psychotics need love, too.

Mario Lemieux: Beating the Odds (Achievers)
$21.27