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Effectiveness and Outcomes in Health Care: Proceedings of an Invitational Conference (1990)
Institute of Medicine (IOM)

Page
227
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Page
227
Front Matter (R1-R16)
Part I: Introduction, 1 Genesis of the Effectiveness Initiative and IOM (1-7)
2 Promise and Limitations of Effectiveness and Outcomes Research (8-18)
Part II: Overview, 3 Research on the Effectiveness of Medical Treatment: New Challenges and Opportunities (19-26)
4 The Health Care Financing Administration and the Effectiveness Initiative (27-30)
5 The Effectiveness Initiative: Retrospective and Prospects (31-33)
6 The Social Perspective (34-37)
7 The Clinical Perspective (38-43)
8 The Legislative Perspective (44-48)
Part III: The IOM Clinical Condition Workshops, 9 Breast Cancer (49-60)
10 Hip Fracture (61-64)
11 Claims Data and Effectiveness: Acute Myocardial Infarction and Other Examples (65-70)
Part IV: Methodological Issues and Work in Progress, 12 The Role of Large Data Bases in Effectiveness Research (71-79)
13 Administrative Data in Effectiveness Studies: The Prostatectomy Assessment (80-93)
14 Issues in the Use of Large Data Bases for Effectiveness Research (94-106)
15 Measuring Patient Function and Well-Being: Some Lessons from the Medical Outcomes Study (107-119)
16 The Uniform Clinical Data Set (120-136)
17 Assessing Health-Related Quality of Life Outcomes (137-151)
18 Using Patient Reports of Outcomes to Assess Effectiveness of Medical Care (152-159)
19 Studying Outcomes for Patients with Depression: Initial Findings from the Medical Outcomes Study (160-172)
20 Effectiveness Research and Changing Physician Practice Patterns (173-178)
21 Applying Effectiveness and Outcomes Research to Clinical Practice (179-189)
22 An Attempt to Manage Variation in Obstetrical Practice (190-200)
23 Using Outcome Measures to Improve Care Delivered by Physicians and Hospitals (201-212)
Part V: Where Do We Go From Here?, 24 The Need for Reasonable Expectations (213-217)
25 Use of Effectiveness Research in Managed Care Plans (218-223)
26 Gaining Acceptance for Effectiveness and Outcomes Research (224-226)
List of Authors (227-230)

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OCR for page 227
List of Authors Henry J. Aaron, Ph.D. Senior Fellow The Brookings Institute Washington, D.C. Howard J. Bailit, D.M.D., Ph.D. Vice President Employees Benefits Division AEtna Life Insurance Company Hartford, Connecticut M. Audrey Burnam, Ph.D. Behavioral Scientist The RAND Corporation Santa Monica, California Paul D. Cleary, Ph.D. Associate Professor of Medical Sociology Department of Health Care Policy Harvard Medical School Boston, Massachusetts J. Jarrett Clinton, M.D. Acting Administrator Agency for Health Care Policy and Research Department of Health and Human Services Rockville, Maryland Elliott S. Fisher, M.D., M.P.H. Department of Community and Family Medicine Dartmouth Medical School Hanover, New Hampshire Paul F. Griner, M.D. Samuel E. Durand Professor of Medicine Director, University of Rochester Medical Center General Director, Strong Memorial Hospital Rochester, New York Louis B. Hays Acting Administrator Health Care Financing Administration Washington, D.C. Kim A. Heithoff Research Assistant Institute of Medicine Washington, D.C. Valerie P. Jackson, M.D. Indiana University School of Medicine Wishard Memorial Hospital Indianapolis, Indiana 227

OCR for page 228
228 Stephen Jencks, M.D. Chief Scientist Off~ceofRese~ch and Demonstrations Health Care Financing Administration Baltimore, Maryland Emmett B. Keeler, Ph.D. Senior Mathematician The RAND Corporation Santa Monica, California Henry Krakauer, M.D., Ph.D. Office of Program Planning Health Standards and Quality Bureau Health Care Financing Administration Baltimore, Maryland Kathleen N. Lohr, Phi. Deputy Director Division of Health Care Services Institute of Medicine Washington, D.C. Barbara J. McNeil, M.D. Head, Department of Health Care Policy Harvard Medical School Boston, Massachusetts Janet B. Mitchell, Ph.D. President Center for Health Economics Research Needham, Massachusetts . Albert G. Mulley, Jr., M.D. Chief General Internal Medicine Unit Massachusetts General Hospital Boston, Massachusetts David G. Murray, M.D. Professor, Department of Orthopedic Surgery SUNY Health Services Center at Syracuse Syracuse, New York AUTHORS Eugene C. Nelson, Sc.D. Director, Quality of Care Research Hospital Corporation of America Nashville, Tennessee Donald M. Patrick, Ph.D., M.S.P.H. Professor Department of Health Services University of Washington Seattle, Washington Uwe E. Reinhardt, Ph.D. James Madison Professor of Political Economy Woodrow Wilson School of Public and International Affairs Princeton University Princeton, New Jersey Richard A. Rettig, Ph.D. Senior Staff Officer Institute of Medicine Washington, D.C. John D. Rockefeller IV Senator from West Virginia Senate of the United States Washington, D.C. William L. Roper, M.D. Director Centers for Disease Control Department of Health and Human Services Atlanta, Georgia Stephen C. Schoenbaum, M.~)., MP.H. Deputy Medical Director Harvard Community Health Plan Brookline, Massachusetts J. Sanford Schwartz, M.D. Associate Professor Section of General Internal Medicine Hospital of the University of Pennsylvania Philadelphia, Pennsylvania

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AUTHORS Kenneth I. Shine, M.D. Dean UCLA School of Medicine Los Angeles, California G. Richard Smith, M.D. Associate Professor of Psychiatry Department of Psychiatry University of Arkansas School for the Medical Sciences Little Rock, Arkansas Harold C. Sox, Jr., M.D. Professor and Chairman Department of Medicine Dartmouth Medical School Hanover, New Hampshire John D. Stobo, M.D. William Osler Professor of Medicine Director and Physician-in-Chief The Johns Hopkins University School of Medicine The Johns Hopkins Hospital Department of Medicine Baltimore, Maryland 229 John E. Ware, Jr., Ph.D. Senior Scientist Institute for the Advancement of Health and Medical Care New England Medical Center Boston, Massachusetts John E. Wennberg, M.D., M.P.H. Professor of Epidemiology and Public Policy Department of Community and Family Medicine Dartmouth Medical School Hanover, New Hampshire

OCR for page 230

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dartmouth medical