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OCR for page R1
Effectiveness Initiative
Setting Priorities for
Clinical Conditions
Report of a Smby by a Committee of tile
INSTITUTE OF MEDICINE
Division of Heals Care Services
National Academy Press
Washington, D.C. 1989
OCR for page R2
NOTICE: The project Cat is the subject of this report was approved by He
Governing Board of He National Research Council, whose members are
drawn from the councils of He National Academy of Sciences, He National
Academy of Engineering, and the Institute of Medicine. The members of
the committee responsible for the report were chosen for their special
competencies and win regard for appropriate balance.
The report has been reviewed by a group other than the authors according
to procedures approved by a Report Review Committee consisting of
members of the National Academy of Sciences, the National Academy of
Engineering, and the Institute of Medicine.
The Institute of Medicine was chartered in 1970 by the National Academy
of Sciences to enlist distinguished members of the appropriate professions
in the examination of policy matters pertaining to the heal of the public.
In ~is, the Institute acts under both the Academy's 1863 congressional
charter responsibility to be an adviser to the federal government and its own
initiative in identifying issues of medical care, research, and education.
This workshop was supported by He Health Care Financing Administration,
U.S. Department of Heath and Human Services, under Purchase Order Nos.
HCFA-89-00 12 and HCFA-89-00 15.
2101 Constitution Avenue, N.W.
Washington, D.C. 20418
Publication IOM-89-04
Printed in He United States of America
OCR for page R3
INSTITUTE OF MEDICINE
Division of Health Care Services
HCFA Effectiveness Initiative Clinical Workshop
KENNETH I. SHINE, Chair, Dean, UCLA School of Medicine, Los
Angeles, Californua
I. CLAUDE BENNETT, Professor and Chairman, Department of
Medicine, The University of Alabama School of Medicine, Birmingham,
Alabama
CHRISTINE CASSELL, Chief, Section of General Internal Medicine,
University of Chicago, Chicago, TIlinois
THOMAS C. CHALMERS, Distinguished Physician, Boston VA Medical
Center; President and Dean Emeritus, Mt. Sinai Medical Center, Harvard
School of Public Health, Boston, Massachusetts
lAMESON L. CHASSIN, Director, Department of Surgery, Booth
Memorial Medical Center, Flushing, New York
RONALD G. EVENS, Elizabeth Mallinckro~t Professor and Head,
Radiology Department, Washington University School of Medicine;
Director, Mallinckrodt Institute of Radiology, St. Louis, Missouri
WALTER F. LEAVELL, President, Charles Drew University of Medicine
and Science, Los Angeles, California
DAVID G. MURRAY, Professor, Department of Orthopedic Surgery,
SUNY Health Services Center at Syracuse, New York
ALAN R. NELSON, Associate, Memorial Medical Center, Salt Lake City,
Utah
PAUL S. RUSSELL, John Homans Professor of Surgery, Harvard Medical
School; Visiting Surgeon and Chief, Transplantation Unit, Massachusetts
General Hospital, Boston, Massachusetts
G. RICHARD SMITH, Associate Professor of Psychiatry and Medicine,
Department of Psychiatry, University of Arkansas for the Medical
Sciences, Little Rock, Arkansas
HAROLD C. SOX, JR., Professor and Chairman, Department of Medicine,
Dartmouth Medical School, Hanover, New Hampshire
GEORGE E. THIBAULT, Associate Chief of Medicine, Massachusetts
General Hospital, Boston, Massachusetts
SAMUEL O. THIER, President, Institute of Medicine, National Academy
of Sciences, Washington, D.C.
· · ~
OCR for page R4
INSTITUTE OF MEDICINE
SAMUEL O. THIER, Deadest
STUDY see
K^^ D. YoRDY Director Dlv~lon of Heals Care Sedges
K~^EEN N. LOHR, Senior Visional Assoclam
RICHARD ^. ^0IG, Senior Stag Officer
COME
ROBERTBERENSON, pdva~ Practice of internal medicine,
~shingmn, D.C.
1V
