The evidence for effects of omega-3 fatty acids on outcomes in the conditions assessed varies greatly. Omega-3 fatty acids appear to reduce serum triglycerides among type II diabetics, but have no effect on total cholesterol, HDL cholesterol, and LDL cholesterol.
On the basis of a comprehensive literature review, a set of process indicators to assess the quality of health care for vulnerable elders with osteoarthritis was developed. This paper summarizes the methods used to develop these indicators and reviews the evidence on which they are based.
The methods for developing the ACOVE quality indicators for the management of osteoporosis, including the literature review and expert panel consideration, are detailed elsewhere in this supplement. A structured literature review found 2960 titles on osteoporosis, from which abstracts and articles were identified that were relevant to this report. Based on the literature and the authors' expertise, 24 potential quality indicators were proposed.
An overview of the RAND appropriateness method is provided along with a summary of key results of the recent multidisciplinary expert consensus panel assessing the appropriateness of manipulation and mobilization in the cervical spine.
RAND/Samueli Chair for Integrative Medicine and Senior Health Policy Researcher
Ian Coulter is a senior health policy analyst at the RAND Corporation, where he holds the Samueli Institute Chair in Policy for Integrative Medicine. He is a professor in the School of Dentistry, UCLA, in the Division of Public Health and Community Dentistry; a health consultant at RAND; a…