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Suggested Citation

Institute of Medicine. 1990. Effectiveness and Outcomes in Health Care: Proceedings of an Invitational Conference. Washington, DC: The National Academies Press. https://doi.org/10.17226/1631.

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Publication Info

246 pages |  6 x 9 |  Paperback
ISBN: 978-0-309-07882-5
DOI: https://doi.org/10.17226/1631
Chapters skim
Front Matter i-xvi
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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