04923nam 2200661Ia 450 991077850580332120230331005015.01-280-21210-197866102121010-309-54363-00-585-14444-3(CKB)110986584751012(EBL)3377046(SSID)ssj0000144571(PQKBManifestationID)11160324(PQKBTitleCode)TC0000144571(PQKBWorkID)10146478(PQKB)11398257(MiAaPQ)EBC3377046(Au-PeEL)EBL3377046(CaPaEBR)ebr10063006(CaONFJC)MIL21210(OCoLC)940510383(EXLCZ)9911098658475101219900907d1990 uy 0engur|n|---|||||txtccrEffectiveness and outcomes in health care[electronic resource] proceedings of an invitational conference by the Institute of Medicine, Division of Health Care Services /Kim A. Heithoff and Kathleen N. Lohr, editorsWashington, D.C. National Academy Press19901 online resource (245 p.)Description based upon print version of record.0-309-07882-2 0-309-04342-5 Includes bibliographical references.Effectiveness and Outcomes in Health Care; Copyright; ACKNOWLEDGMENTS; PREFACE; EFFECTIVENESS VERSUS EFFICACY; METHODOLOGIES; IMPACT UPON COSTS; RISK ADJUSTMENTS AND OUTCOMES; CONCLUSIONS; Contents; PART I INTRODUCTION; 1 Genesis of the Effectiveness Initiative and IOM's Role; THE BROADER CONTEXT; The Institute of Medicine's Contribution; The IOM Clinical Workshop; The Condition-Specific Workshops; Effectiveness and Outcomes Conference; Proceedings; 2 Promise and Limitations of Effectiveness and Outcomes Research; IMPORTANCE OF EFFECTIVENESS RESEARCH; Medicare Data BasesKEY ASPECTS OF EFFECTIVENESS RESEARCHReliability and Validity of Data; Longitudinal Studies; Tracking the Patient; Health Status Assessment; Risk Stratification; Prevention; The Aging Process; PRINCIPLES TO GUIDE FEDERAL EFFORTS; Range of Study Designs; Funding; Balance of Approaches; Coordination; Technology Assessment; Influencing Provider Behavior; The Confluence of Biomedical, Health Services, and Effectiveness Research; PART II OVERVIEW; 3 Research on the Effectiveness of Medical Treatment: New Challenges and Opportunities; Medical Treatment Effectiveness ProgramImplementation of the ProgramPriorities for Research; New Patterns of Collaboration; References; 4 The Health Care Financing Administration and the Effectiveness Initiative; HCFA'S INTEREST IN EFFECTIVENESS; THE EFFECTIVENESS INITIATIVE; FUTURE ACTIVITIES; ACKNOWLEDGEMENTS; 5 The Effectiveness Initiative: Retrospective and Prospects; THE GOVERNMENT'S ROLE IN EFFECTIVENESS RESEARCH; PROSPECTS; 6 The Social Perspective; THE PRESENT SCENARIO; COSTS OF HEALTH CARE; VARIATIONS IN MEDICAL COSTS AND PRACTICE; REASONS FOR THE EFFECTIVENESS INITIATIVEHOW TO PROCEED IN EFFECTIVENESS AND OUTCOMES RESEARCH7 The Clinical Perspective; ISSUES IN THE USEFULNESS OF EFFECTIVENESS RESEARCH; MEETING PHYSICIANS' NEEDS; Accessibility of Results; Aiding Patient Invol Vement; Relation to Payment Mechanisms; Unbalanced Regulation; IMPACT OF THE EFFECTIVENESS INITIATIVE; Reference; 8 The Legislative Perspective; UNMET HEALTH CARE NEEDS; GROWING AWARENESS OF EFFECTIVENESS RESEARCH; THE CHALLENGE TO SCIENTISTS; CONCLUSION; PART III THE IOM CLINICAL CONDITION WORKSHOPS; The IOM Condition Workshops: Introduction; 9 Breast CancerTHE PROBLEM OF POOR COMPLIANCECONTROVERSIES; Screening; Treatment; THE ROLE OF EFFECTIVENESS STUDIES IN BREAST CANCER; References; 10 Hip Fracture; PREVENTION; TREATMENT; IN-HOSPITAL CARE; REHABILITATION; CONCLUSION; 11 Claims Data and Effectiveness: Acute Myocardial Infarction and Other Examples; STRENGTHS OF CLAIMS DATA; GENERAL LIMITATIONS; Limitations for Diagnostic Devices; Limitations for Drugs; Limitations for Therapies; CONCLUSION; References; PART IV METHODOLOGICAL ISSUES AND WORK IN PROGRESS; Use of Large Data Bases: Introduction12 The Role of Large Data Bases in Effectiveness ResearchMedical careEvaluationResearchCongressesMedicareCongressesMedical careEvaluationResearchMedicare362.1/028/7Heithoff Kim A1548597Lohr Kathleen N.1941-1506302Institute of Medicine (U.S.).Division of Health Care Services.MiAaPQMiAaPQMiAaPQBOOK9910778505803321Effectiveness and outcomes in health care3805745UNINA