Hip Fracture Setting Priorities for Effectiveness Research (1990) / Chapter Skim
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INTRODUCTION
INTRODUCTION
Pages 5-7
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proposed an Effectiveness Initiative, the purpose of which was to bring the resources of Medicare to bear on the question of what works in the practice of medicine. The objectives of the Effectiveness Initiative were, first, to assess the overall merit of competing health care interventions and, second, to provide information that would help clinicians in managing their patients, improve the peer review process (e.g., of the Medicare Peer Review Organizations [PROs]
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In October 1988, the IOM appointed a study committee and convened a "clinical workshop." The clinical workshop committee recommended five clinical priorities; stable and unstable angina, acute myocardial infarction, breast cancer, congestive heart failure, and hip fracture.) These five conditions met several selection criteria, including high prevalence, burden of the illness on elderly people, appreciable variations in the use of services and in outcomes, high costs, and controversy about alternative ways to manage patients that reflects professional uncertainty.
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to suggest specific research strategies to be employed by HCFA and other public and private research organizations that address these issues. Secondary questions were how the present or proposed Medicare databases might be used to further this research, what should be added to the current databases, and what studies must be conducted independently of the HCFA databases.
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