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PHQ-9
The nine-item Patient Health Questionnaire (PHQ-9) is a depressive symptom scale and diagnostic tool introduced in 2001 to screen adult patients in primary care settings. The instrument assesses for the presence and severity of depressive symptoms and a possible depressive disorder. The PHQ-9 is a component of the larger self-administered Patient Health Questionnaire (PHQ), but can be used as a stand-alone instrument. The PHQ is part of Pfizer's larger suite of trademarked products, called the Primary Care Evaluation of Mental Disorders (PRIME-MD). The PHQ-9 takes less than three minutes to complete. It is scored by simply adding up the individual items' scores. Each of the nine items reflects a ''DSM-5'' symptom of depression.American Psychiatric Association. (2022). ''Diagnostic and statistical manual of mental disorders: DSM-5-TR'' (5th ed.). Washington, DC: Author. Primary care providers can use the PHQ-9 to screen for possible depression in patients. History The PHQ-9 is the ...
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Primary Care
Primary care is a model of health care that supports first-contact, accessible, continuous, comprehensive, and coordinated person-focused care. It aims to optimise population health and reduce disparities across the groups by ensuring equitable access to services for all subgroups. Primary care is the day-to-day healthcare given by a health care provider. Typically, this provider acts as the first contact and principal point of continuing care for patients within a healthcare system, and coordinates any additional care the patient may require. Patients commonly receive primary care from professionals such as a primary care physician (general practitioner or family physician), a physician assistant, a physical therapist, or a nurse practitioner. In some localities, such a professional may be a registered nurse, a pharmacist, a clinical officer (as in parts of Africa), or an Ayurvedic or other traditional medicine professional (as in parts of Asia). Depending on the natu ...
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Measurement Invariance
Measurement invariance or measurement equivalence is a statistical property of measurement that indicates that the same construct is being measured across some specified groups. For example, measurement invariance can be used to study whether a given measure is interpreted in a conceptually similar manner by respondents representing different genders or cultural backgrounds. Violations of measurement invariance may preclude meaningful interpretation of measurement data. Tests of measurement invariance are increasingly used in fields such as psychology to supplement evaluation of measurement quality rooted in classical test theory. Measurement invariance is often tested in the framework of multiple-group confirmatory factor analysis (CFA). In the context of structural equation models, including CFA, measurement invariance is often termed ''factorial invariance''. Definition In the common factor model, measurement invariance may be defined as the following equality: :f(\textit \ ...
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Kaiser Permanente
Kaiser Permanente (; KP) is an American integrated delivery system, integrated managed care consortium headquartered in Oakland, California. Founded in 1945 by industrialist Henry J. Kaiser and physician Sidney Garfield, Sidney R. Garfield, the organization was initially established to provide medical services at Kaiser's shipyards, steel mills and other facilities, before being opened to the general public. Kaiser Permanente operates as a consortium comprising three distinct but interdependent entities: the Kaiser Foundation Health Plan (KFHP) and its regional subsidiaries, Kaiser Foundation Hospitals, and the regional Permanente Medical Groups. As of 2024, Kaiser Permanente serves eight states (California, Colorado, Georgia (U.S. state), Georgia, Hawaii, Maryland, Oregon, Virginia, and Washington (state), Washington) as well as the Washington, D.C., District of Columbia and is the largest managed care organization in the United States. Each Permanente Medical Group functions as ...
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United States Department Of Defense
The United States Department of Defense (DoD, USDOD, or DOD) is an United States federal executive departments, executive department of the federal government of the United States, U.S. federal government charged with coordinating and supervising the six U.S. armed services: the United States Army, Army, United States Navy, Navy, United States Marine Corps, Marines, United States Air Force, Air Force, United States Space Force, Space Force, the United States Coast Guard, Coast Guard for some purposes, and related functions and agencies. As of November 2022, the department has over 1.4 million active-duty uniformed personnel in the six armed services. It also supervises over 778,000 National Guard (United States), National Guard and reservist personnel, and over 747,000 civilians, bringing the total to over 2.91 million employees. Headquartered at the Pentagon in Arlington County, Virginia, just outside Washington, D.C., the Department of Defense's stated mission is "to provid ...
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United States Department Of Veterans Affairs
The United States Department of Veterans Affairs (VA) is a Cabinet-level executive branch department of the federal government charged with providing lifelong healthcare services to eligible military veterans at the 170 VA medical centers and outpatient clinics located throughout the country. Non-healthcare benefits include disability compensation, vocational rehabilitation, education assistance, home loans, and life insurance. The VA also provides burial and memorial benefits to eligible veterans and family members at 135 national cemeteries. While veterans' benefits have been provided by the federal government since the American Revolutionary War, a veteran-specific federal agency was not established until 1930, as the Veterans' Administration. In 1982, its mission was expanded to include caring for civilians and people who were not veterans in case of a national emergency. In 1989, the Veterans' Administration became a cabinet-level Department of Veterans Affairs. The ...
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Millennium Cohort Study
The Millennium Cohort Study (MCS) is a longitudinal survey conducted by the Centre for Longitudinal Studies (CLS) at the University of London, following the lives of a sample of about 18,818 babies born in the UK in the year 2000–2001. History The MCS is the fourth longitudinal birth cohort study conducted in the UK. Its aim is to create a multi-purpose data-set that describes the diversity of backgrounds into which children are born in the beginning of the 21st century. The information collected includes topics such as child development, social stratification and family life in order to identify possible advantages and disadvantages that the children are facing. The survey is conducted in different sweeps with the first one concentrating on the circumstances of the pregnancy and birth as well as the first few months of life. This first part of the survey is also important to record the socio-economic background of the family into which the child is born. The second sweep t ...
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Medicare (United States)
Medicare is a federal health insurance program in the United States for people age 65 or older and younger people with disabilities, including those with End Stage Renal Disease Program, end stage renal disease and amyotrophic lateral sclerosis (ALS or Lou Gehrig's disease). It started in 1965 under the Social Security Administration and is now administered by the Centers for Medicare and Medicaid Services (CMS). Medicare is divided into four parts: A, B, C and D. Part A covers hospital, skilled nursing, and hospice services. Part B covers outpatient services. Part D covers self-administered prescription drugs. Part C is an alternative that allows patients to choose private plans with different benefit structures that provide the same services as Parts A and B, usually with additional benefits. In 2022, Medicare provided health insurance for 65.0 million individuals—more than 57 million people aged 65 and older and about 8 million younger people. According to annual Medicare ...
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Medical Expenditure Panel Survey
The Medical Expenditure Panel Survey (MEPS) is a family of surveys intended to provide nationally representative estimates of health expenditure, utilization, payment sources, health status, and health insurance coverage among the noninstitutionalized, nonmilitary population of the United States. This series of government-produced data sets can be used to examine how individuals interact with the medical care system in the United States. MEPS is administered by the Agency for Healthcare Research and Quality (AHRQ) in three components: the core Household Component, the Insurance/Employer Component, and the Medical Provider Component. Only the Household Component is available for download on the Internet. These components provide comprehensive national estimates of health care use and payment by individuals, families, and any other demographic group of interested . History MEPS was modeled after the National Medical Expenditure Survey (NMES) and the National Medical Care Utiliza ...
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National Health And Nutrition Examination Survey
The National Health and Nutrition Examination Survey (NHANES) is a survey research program conducted by the National Center for Health Statistics (NCHS) to assess the health and nutritional status of adults and children in the United States, and to track changes over time. The survey combines interviews, physical examinations and laboratory tests. The NHANES interview includes demographic, socioeconomic, dietary, and health-related questions. The examination component consists of medical, dental, and physiological measurements, as well as laboratory tests administered by medical personnel. The National Health Survey Act was passed in 1956. This allowed legislative authorization to provide current statistical data on the amount, distribution, and effects on illness and disability in the United States. The first three national health examination surveys were conducted in the 1960s: # 1960-62—National Health Examination Survey I (NHES I); # 1963-65—National Health Examinati ...
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Behavioral Risk Factor Surveillance System
The Behavioral Risk Factor Surveillance System (BRFSS) is a United States health survey that looks at behavioral risk factors. Begun in 1984, the BRFSS is run by Centers for Disease Control and Prevention and conducted by participating individual state health departments. The survey is administered by telephone and is the world's largest such survey. In 2009, the BRFSS began conducting surveys by cellular phone in addition to traditional “landline” telephones. Description The BRFSS is a cross-sectional telephone survey conducted by state health departments with technical and methodological assistance provided by the CDC. In addition to all 50 states, the BRFSS is also conducted by health departments in The District of Columbia, Guam, Puerto Rico, and the U.S. Virgin Islands.{{cite web , url=https://www.cdc.gov/brfss/about/brfss_faq.htm , title= BRFSS Frequently Asked Questions (FAQs) , date= 11 February 2019 , publisher=Center for Disease Control Individual states can add th ...
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National Institute For Health And Care Excellence
The National Institute for Health and Care Excellence (NICE) is an executive non-departmental public body of the Department of Health and Social Care (United Kingdom), Department of Health and Social Care. As the national health technology assessment body of England, it is responsible for judging the cost-effectiveness of medicines and making them available on the NHS through reimbursement, with its judgements informing decisions in Wales and Northern Ireland. It also provides a range of clinical guidance to the NHS in England and Wales, which are considered by Northern Ireland. History Organisational history It was set up as the National Institute for Clinical Excellence in 1999, and on 1 April 2005 joined with the Health Development Agency to become the new National Institute for Health and Clinical Excellence (still abbreviated as NICE). Following the Health and Social Care Act 2012, NICE was renamed the National Institute for Health and Care Excellence on 1 April ...
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Sensitivity And Specificity
In medicine and statistics, sensitivity and specificity mathematically describe the accuracy of a test that reports the presence or absence of a medical condition. If individuals who have the condition are considered "positive" and those who do not are considered "negative", then sensitivity is a measure of how well a test can identify true positives and specificity is a measure of how well a test can identify true negatives: * Sensitivity (true positive rate) is the probability of a positive test result, conditioned on the individual truly being positive. * Specificity (true negative rate) is the probability of a negative test result, conditioned on the individual truly being negative. If the true status of the condition cannot be known, sensitivity and specificity can be defined relative to a " gold standard test" which is assumed correct. For all testing, both diagnoses and screening, there is usually a trade-off between sensitivity and specificity, such that higher sensiti ...
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