Attachment E: Online Survey Questionnaire
Online Survey Questionnaire
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Number |
Follow-Up (Yes/No) |
Question |
Potential Answers |
Form
Approved Your participation is extremely valuable to this evaluation and is greatly appreciated.
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Which research program are you affiliated with? [check all that apply] |
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Which of the following EHC program research activities have you been involved with? [check all that apply] |
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EHC PROGRAM GOALS |
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The EHC program was established as a part of a mandate to provide rational, timely, and rigorous assessments of therapeutics and other health care interventions.
Do you agree that the EHC program is providing rational assessment of therapeutics and other interventions? |
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Please, elaborate on your response. |
Open ended |
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Do you agree that the EHC program is providing timely assessment of therapeutics and other interventions? |
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Please, elaborate on your response. |
Open ended |
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Do you agree that the EHC program is providing rigorous assessment of therapeutics and other interventions? |
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Please, elaborate on your response. |
Open ended |
8b |
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Do you agree that the EHC program assessment of therapeutics and other intervention is useful? |
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8c |
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Please elaborate on your response. |
Open ended |
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Do you agree that the EHC program provides effective translations of complex research findings into publications for policymakers? |
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Please, elaborate on your opinion. |
Open ended response requested |
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Do you agree that the EHC program provides effective translations of complex research findings into publications for health care providers? |
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Please, elaborate on your opinion. |
Open ended |
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Do you agree that the EHC program provides effective translations of complex research findings into publications for consumers/patients? |
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Please, elaborate on your opinion. |
Open ended |
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RESEARCH SELECTION PROCESS |
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What has been your role in suggesting topics for research? [check all that apply] |
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15(e) |
Do you have any interest in suggesting topics for research? |
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In your opinion, can the transparency of the EHC program’s selection of research topics be improved?
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17(a), 17(b) |
What improvements would you recommend to make the selection process more transparent? |
Open-ended |
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The mandated criteria for prioritizing research topics in the EHC program are “health care items or services that:
Do you think the EHC program research selection process has been guided by these criteria?
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Beyond the mandated criteria what do you feel significantly affects the selection of research topics? |
Open ended |
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Beyond the mandated criteria what do you feel should affect the selection of research topics? |
Open ended |
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I believe/think that my center has been appropriately engaged by the EHC program staff in the topic nomination and selection process. |
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Please, elaborate on your response. |
Open ended |
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PRIORITY CONDITIONS & POPULATIONS |
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Which of the following EHC program priority conditions MOST warrant additional research by the EHC program? [you may check up to 3 boxes] |
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Please, explain further what specific research is needed. |
Open ended |
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Which of the following priority populations have the most pressing needs/issues that have not been sufficiently addressed by the research of the EHC program? [you may check up to 3 boxes]
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Please, explain further what specific research is needed. |
Open ended |
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Which of the following priority populations have needs/issues that have not been MOST sufficiently addressed by the research of the EHC program? [you may check up to 3 boxes] |
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Please, explain further what specific research is needed and why. |
Open ended |
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EHC PROGRAM RESEARCH IMPACT |
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How would you rate the general awareness of the EHC program’s research and publications among your professional colleagues? |
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ENGAGING STAKEHOLDERS |
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How would you change the representative range of stakeholders (patients, providers, policy makers) involved in the EHC program? |
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35(a) |
Which type(s) of stakeholders would you add? |
Open ended |
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35(c) |
Which type(s) of stakeholders would you remove? |
Open ended |
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In your opinion, the outside stakeholders’ level of involvement in the nomination of research topics should: |
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How would you change their involvement? |
Open ended |
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In your opinion, the outside stakeholders’ level of involvement in the selection of research topics should: |
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How would you change their involvement? |
Open ended |
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In your opinion, the outside stakeholders’ level of involvement in the development of EHC program products should: |
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How would you change their involvement? |
Open ended |
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In your opinion, the outside stakeholders’ level of involvement in the translation of evidence into tools and products should: |
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How would you change their involvement? |
Open ended |
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In your opinion, the outside stakeholders’ level of involvement in the dissemination of the EHC program products should: |
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How would you change their involvement? |
Open ended |
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In your opinion, the outside stakeholders’ level of involvement with the implementation of the EHC program products should: |
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How would you change their involvement? |
Open ended |
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How else could the EHC program involve outside stakeholder groups in order to meet its mandate? |
open text |
The following set of questions focus on stakeholders. There are two distinct groups of stakeholders in which we are interested. “EHC program Stakeholder Group” refers to an official group of selected members from whom the EHC program seeks input, guidance, and advice. “Outside stakeholders” refers to community members who have an interest in the work of the EHC program but are not members of the EHC program Stakeholder Group. |
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Are you familiar with the EHC program Stakeholder Group that provides guidance to the EHC program? |
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51(a), 51(b) |
The issues on which the EHC program seeks the consultation of the EHC program Stakeholder Group should be: |
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51(a), 51(b) |
Which issue(s)? |
Open ended |
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51(a), 51(b) |
Do you feel that the composition of EHC program Stakeholder Group fairly reflects the various types of EHC program stakeholders? |
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54(b), 54(c) |
Which essential stakeholders are unrepresented or underrepresented on the EHC program Stakeholder Group? |
Open ended |
Thank you for sharing your experiences and thoughts about the Effective Health Care (EHC) program at the Agency for Healthcare Research and Quality (AHRQ). Your input and responses will help us build a better, more efficient structure and program.
We appreciate your valuable time and feedback.
Should you have any thoughts, questions or concerns, please do not hesitate to contact me at ywang@impaqint.com.
Ying Wang, PhD Project Director, Evaluation of AHRQ EHC Program Governance and Priority Setting IMPAQ International |
File Type | application/msword |
Last Modified By | Ying Wang |
File Modified | 2010-02-19 |
File Created | 2009-05-18 |