05119nam 2200757Ia 450 991097371320332120251017110054.09786610212101978128021210912802121019780309543637030954363097805851444430585144443(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(Perlego)4736948(DNLM)704182(EXLCZ)9911098658475101219900907d1990 uy 0engur|n|---|||||txtccrEffectiveness and outcomes in health care proceedings of an invitational conference by the Institute of Medicine, Division of Health Care Services /Kim A. Heithoff and Kathleen N. Lohr, editors1st ed.Washington, D.C. National Academy Press19901 online resource (245 p.)Description based upon print version of record.9780309078825 0309078822 9780309043427 0309043425 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 A1809853Lohr Kathleen N.1941-1806075Institute of Medicine (U.S.).Division of Health Care Services.MiAaPQMiAaPQMiAaPQBOOK9910973713203321Effectiveness and outcomes in health care4360860UNINA