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Position Papers on Issue 4: The Need for Clinical Investigators to be Concerned with the Issues of Outcome Assessment and Cost-Effectiveness Analysis
Position Papers on Issue 4: The Need for Clinical Investigators to be Concerned with the Issues of Outcome Assessment and Cost-Effectiveness Analysis
Pages 81-88
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From page 82... ...
For example, the outcome research program of the National Center for Health Services Research and Health Care Technology Assess meat disco below, received an appropriation of only $6 million dollars in FY 1989. The immediate consequence is an increasingly inadequate scientific basis for clinical decision-making.
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From page 83... ...
controversies about correct practice exist concerning the value of intensive care units. The secondary consequences are large variations in combs and utilization among apparently similar populations treated by different (but equally qualified)
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From page 84... ...
The National Center for Health Services Research is initiating a program which provides one model of how a research program might be built. me program uses the extramural grant mechanism to fund assessment teams that accept responsibility for evaluating alternative treatment Theories for specific common dismay= conditions (for example, prostatism or stable angina)
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From page 85... ...
But the lack of regulatory mandate means that many important priorities -- such as those listen in Table 1, are left unattended. The peculiar need for a public program responsible for the systematic rationalization of The scientific basis of clinical theory suggest the need to designate a single agency with responsibility for setting the baseline outcomes research agenda for assuring that systematic attention is given to The important unanswered scientific questions, particularly for 'big ticket diseases." Evaluations under this agency must be done in a teeny and ongoing way.
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From page 86... ...
must rain responsive to the As of patients and policy male; for _ that a = at priorities are At and that the core group of scientists Hose ~ are situated In the evaluative clinical sciences are mobilized. It Is bone to consider carefully the option of Are the National Cater it the Non.
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From page 87... ...
2181) Corx~ition Stable Angina Unstable Angina Arteriosclen~ Causing Sake P~i~ibem1 Vascular Disease lens Exaction ~1 Stories Arthritis of the Hip are Knee None C;onditions of the Uterus Prostatism Air, Nose & throat editions Herniated Disc Acute and Chronic M~di~1 Conditions: Treatment Controversies Eypass Surgery vs Angiqplasty vs Drugs Eypass Surgery vs Angiqplasty vs Drugs Endarterectomy vs Drugs Eypass Surgery vs Angiaplasty vs Medical Management Surgery (by type)
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