Effectiveness and Outcomes in Health Care Proceedings of an Invitational Conference (1990) / Chapter Skim
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PART I Intro flu c t i on
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to aid policymakers in allocating Medicare resources. The subsequent evolution of the DHHS effectiveness and outcomes research programs has made it clear that improving patient outcomes is a unifying, primary objective and that identifying additional issues for further research is also important.
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Conceptually, outcomes and effectiveness research are very similar; differences lie in legislative, administrative, and funding histories. Consequently, when the DHHS, through Secretary Louis Sullivan, announced in mid-1989 that the department was including the HCFA Effectiveness Initiative in a comprehensive outcomes and effectiveness research program, the announcement was greeted with approval by many in the health services research community.
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This "clinical workshop committee,' recommended that five conditions receive highest priority: angina (stable and unstable) ; acute myocardial infarction; carcinoma of the breast; congestive heart failure; and hip fracture.
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EFFECTIVENESS AND OUTCOMES CONFERENCE The September 1989 IOM conference, "Effectiveness and Outcomes in Health Care," concluded this series of activities. It had four main objectives: to explore the social, clinical, and legislative environment for research on the topic of "what works in the practice of medicine"; to review the conclusions and recommendations of the IOM workshops on breast cancer, acute myocardial infarction, and hip fracture; to highlight four important methodological issues In effectiveness studies, specifically, use of adminisaai~ve data bases, collection of primary data, development and use of outcome measures, and applications in clinical practice; and to examine the question of where we go from here.
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INTRODUCTION 7 and the summary statement of the TOM core committee. Although most of the issues in the summary are addressed in the individual workshop reports, the committee believed it would be helpful to draw them together in a single statement.
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