Comparative Effectiveness Research: Evidence, Medicine, And Policy
by Carol M. Ashton /
2013 / English / PDF
2.9 MB Download
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.
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
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.
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.
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
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.
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.