Effectiveness and Outcomes in Health Care Proceedings of an Invitational Conference (1990) / Chapter Skim
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Pages 19-26
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PART II Overview
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on today's environment for a new component of health services research: medical treatment effectiveness research. In a November 1988 issue of the New England Journal of Medicine, William Roper, then Administrator of the Health Care Financing Administration (HCFA)
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Sullivan's desire that the Medical Treatment Effectiveness Program be a cohesive, department-wide effort, PHS is collaborating closely with HCFA to develop sound, fresh, and forwardthinking strategies. The long-term goal of the program is to change the assessment of health care services, research and financing from a focus on processes, that is, procedures and interventions, to a focus on patient outcomes of these processes.
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4. Practice guidelines The fourth and most challenging component of the Medical Treatment Effectiveness Program is the development of practice guidelines, that is, parameters and standards of care.
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IMPLEMENTATION OF THE PROGRAM To accomplish the goals and objectives of the Medical Treatment Effectiveness Program, Dr. Sullivan intends to implement it from a departmental perspective.
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POLICY AND RESEARCH ENVIRONMENTS 25 Congress, too, powerfully affects us. The Senate Appropriations Committee suggested the following topics for full consideration: · effectiveness of prevention services, · effectiveness of alcohol, drug abuse, and mental health treatment programs, · effectiveness of nonphysician health providers, such as nurse practi tioners and physician assistants.
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We know that there are no quick or easy answers to many of the questions surrounding effectiveness of medical treatment. Because there are none, we are positioning the Medical Treatment Effectiveness Program for the long haul.
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