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A summary of research in 2014 suggested that 11.5% of variance in therapy outcome was due to the common factor of goal consensus/collaboration, 9% was due to empathy, 7.5% was due to therapeutic alliance, 6.3% was due to positive regard/affirmation, 5.7% was due to congruence/genuineness, and 5% was due to therapist factors. In contrast ...
These fields are similar in their focus on transforming what is learned from research into common practice to improve care processes and outcomes. "Improvement science" is proposed as the most inclusive term in this list and is proposed as a specialty within health services research.
The concept of therapeutic alliance dates back to Sigmund Freud. Over the course of its evolution, the meaning of the therapeutic alliance has shifted both in form and implication. What started as an analytic construct has become, over the years, a transtheoretical formulation, [ 1 ] an integrative variable, [ 2 ] and a common factor.
The therapeutic alliance, or the working alliance may be defined as the joining of a client's reasonable side with a therapist's working or analyzing side. [6] Bordin [7] conceptualized the working alliance as consisting of three parts: tasks, goals and bond. Tasks are what the therapist and client agree need to be done to reach the client's goals.
Health services research (HSR) became a burgeoning field in North America in the 1960s, when scientific information and policy deliberation began to coalesce. [1] Sometimes also referred to as health systems research or health policy and systems research (HPSR), HSR is a multidisciplinary scientific field that examines how people get access to health care practitioners and health care services ...
In 1964, the World Medical Association published a code of research ethics, the Declaration of Helsinki. It was based on the Nuremberg Code, focusing on medical research with therapeutic intent. Subsequently, medical professionals and researchers began requiring that research follows the principles outlined in the Declaration.
The task force, a volunteer panel of primary care clinicians (including those from internal medicine, pediatrics, family medicine, obstetrics and gynecology, nursing, and psychology) with methodology experience including epidemiology, biostatistics, health services research, decision sciences, and health economics, is funded, staffed, and ...
The journal covers research, methods, and concepts related to the financing, organization, delivery, evaluation, and outcomes of health services. According to the Journal Citation Reports , the journal has a 2020 impact factor of 3.402, ranking it 18th out of 88 journals in the category "Health Policy" [ 1 ] and 38th out of 108 in "Health Care ...