LEADER 00967cam0-22003131i-450 001 990002811370403321 005 20220120111157.0 035 $a000281137 035 $aFED01000281137 035 $a(Aleph)000281137FED01 035 $a000281137 100 $a20000920d1898----km-y0itay50------ba 101 0 $aita 102 $aIT 105 $ay-------001yy 200 1 $a<>operazioni di borsa$estoria, pratica, teoria, dottrina, legislazione e giurisprudenza d'Italia e degli stati esteri, comparate e proposte di riforme legislative$fOscar Bassano 205 $a2. ed. completamente riveduta e ampliata 210 $aLivorno$cT. 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Heithoff and Kathleen N. Lohr, editors 205 $a1st ed. 210 $aWashington, D.C. $cNational Academy Press$d1990 215 $a1 online resource (245 p.) 300 $aDescription based upon print version of record. 311 08$a9780309078825 311 08$a0309078822 311 08$a9780309043427 311 08$a0309043425 320 $aIncludes bibliographical references. 327 $aEffectiveness 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 Bases 327 $aKEY 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 Program 327 $aImplementation 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 INITIATIVE 327 $aHOW 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 Cancer 327 $aTHE 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: Introduction 327 $a12 The Role of Large Data Bases in Effectiveness Research 606 $aMedical care$xEvaluation$xResearch$vCongresses 606 $aMedicare$vCongresses 615 0$aMedical care$xEvaluation$xResearch 615 0$aMedicare 676 $a362.1/028/7 701 $aHeithoff$b Kim A$01809853 701 $aLohr$b Kathleen N.$f1941-$01806075 712 02$aInstitute of Medicine (U.S.).$bDivision of Health Care Services. 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910973713203321 996 $aEffectiveness and outcomes in health care$94360860 997 $aUNINA