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Acute Myocardial Infarction Setting Priorities for Effectiveness Research (1990) / Chapter Skim
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Introduction
Pages 5-8

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From page 5...
... assess the overall merit of competing health care interventions and (2) provide information that will help clinicians in the management of their patients, assist and improve He peer review process (e.g., of the Medicare Peer Review Organizations [PROs]
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From page 6...
... To respond to HCFA's initial request for assistance in planning the Effectiveness Initiative, the Institute appointed a study committee and convened a "clinical workshop" in October 198X. The clinical workshop committee recommended five clinical problem areas: stable and unstable angina, acute myocardial infarction (AM0, breast cancer, congestive heart failure, and hip fracture.
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From page 7...
... Therefore, the effectiveness of some interventions in older elderly patients, particularly with respect to long-term physical and emotional functioning, remains unclear.3 Other questions not likely to be resolved by efficacy studies center on differences in medical interventions and outcomes in groups of patients who differ on demographic or clinical grounds. 2The reports an the other two workshops to identify patient management topics for breast cancer and hip fracture were published in 1990 (respectively, Breast Cancer: Setting Priorities for Effectiveness Research and Hip Fracture: Setting Priorities for Effectiveness Research)
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From page 8...
... An underlying premise was the need to understand what aspects of the present or proposed Medicare data bases might be used in this research, what should be added to the current data bases, and what studies must be conducted independently of the HCFA data bases. The remainder of this report summarizes the background information on He clinical aspects of AMI and conveys the committee's deliberations, findings, and recommendations.
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Key Terms

  • clinical workshop
  • effectiveness research
  • setting priorities
  • hip fracture
  • breast cancer

  • clinical conditions
  • patient management
  • management issues
  • workshop committee
  • controlled trials

  • receive priority
  • randomized controlled
  • research strategies
  • research workshop
  • pharmacologic agents

  • treatment effectiveness
  • manage patient
  • medicare data
  • specific set
  • identify patient

  • help clinicians
  • initial study
  • related research
  • hcfa outlined
  • clinical trials

  • critical issues
  • artery bypass
  • reflect professional
  • bypass surgery
  • definitive care


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