Comparative Effectiveness Research Evidence, Medicine, and Policy

ISBN-10: 019996856X

ISBN-13: 9780199968565

Edition: 2013

List price: $61.00
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Description: For all its costs, flaws, and inequities, American health care is fundamentally rooted in a belief that treatment should be based on solid scientific research. To this end, between 2003 and 2010, three different federal laws were enacted, the most recent being the Affordable Care Act of 2010, that mandated new federal investments in a type of clinical research called comparative effectiveness research (CER) -- research into what works best in medical care.Comparative Effectiveness Research: Evidence, Medicine, and Policy provides the first complete account of how -- and why -- the federal government decided to make CER an important feature of health reform. Despite earlier legislative uptake of policy proposals on CER, support for federal mandates took dramatic twists and turns, with eventual compromises forged amid failing bipartisan alliances, special interests, and mobilized public opinion.Based on exhaustive research and first-hand interviews, the authors examine where CER fits in the production of scientific evidence about the benefits and harms of treatments for human diseases and conditions. Their work offers sobering confirmation that contemporary American medical care falls, not surprisingly, well short of the evidence-based ideal.Comparative Effectiveness Research demonstrates that dealing constructively with the vast uncertainties inherent to medical care requires policies to make the generation of high-quality evidence an inseparable part of routine health care.

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Book details

List price: $61.00
Copyright year: 2013
Publisher: Oxford University Press, Incorporated
Publication date: 7/1/2013
Binding: Hardcover
Pages: 304
Size: 6.50" wide x 9.50" long x 1.00" tall
Weight: 1.298
Language: English

Acknowledgments
List of Abbreviations
Introduction
Evidence
The Generation of Evidence in Medicine: Evaluating the Benefits and Harms of Treatment
The Use of Evidence: Federal Regulation of Prescription Drugs and Medical Devices
The Subversion of Evidence: The Rosiglitazone Story
Operate First, Evidence Later: The Special Case of Surgery
Doctors and Evidence: Evidence-Based Medicine
Politics and Policy
Introduction
Comparative Effectiveness Research: A New "Silver Bullet" for U.S. Health Care Costs
The Legislative Odyssey of Comparative Effectiveness Research: Birth in 2002 to the First Federal Mandate in 2003
2005 to 2007: The Health Services Research Community Stirs, the "B" Word Awakens Policy Makers, and the House CHAMP Act Creates Divisions
2008 to 2010: The Baucus-Conrad Bills, the American Recovery and Reinvestment Act, and the Patient Protection and Affordable Care Act
The Structure, Financing, and Processes of Federally Mandated Comparative Effectiveness Research and Why They Matter
Interests
Introduction
Aligning Clinical Practice with Best Evidence of Comparative Effectiveness: Payment Policy for Evidence-Based Medical Care
Dealing with Uncertainty: Payment Policy for the Generation of Evidence as Part of Clinical Practice
Epilogue
Index
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