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Better Care: Improve the overall quality, by making health care more patient-centered, reliable, accessible, and safe.
Healthy People/Healthy Communities: Improve the health of the U.S. population by supporting proven interventions to address behavioral, social and, environmental determinants of health in addition to delivering higher-quality care.
Affordable Care: Reduce the cost of quality health care for individuals, families, employers, and government.
4. Aligning the efforts of public and private sectors
5. Quality improvement
6. Consistent national standards 7. Primary care will become a bigger focus 8. Coordination will be enhanced 9. Integration of care delivery 10. Providing clear information CER focused at the individual level, responsive to patient needs CER examining discrete &/or complex comorbid conditions Importance of sub group analyses, examination of context, & within group heterogeneity Enterprise dependent on public & private sources Examination of system level effectiveness and co-occurring interventions Methodologic standards for priority setting, engaging patients & research Focus on real world setting and heterogeneous patient populations as well as practice variations Implementation and Dissemination CER Importance of system level studies
Coverage, delivery system regulations, payment, quality
Coverage, payment, quality
Regulatory requirements, impact on innovation
Health care choices
Health care choices
The design depends on who is asking the question
Source: Zerzan, JT et al. “Improving State Medicaid Policies with Comparative Effectiveness Research: A Key Role for Academic Health Centers.” Academic Medicine, Vol. 86, No. 6. June 2011. Pgs 695-700.
[…] “if American medicine is to avoid the mistakes of high-dose chemotherapy, hormone therapy, antiarrhythmic agents, and numerous other failed interventions, that our profession adopted on the basis of inferior evidence.”
Source: Lauer, MS. “Will Academia Embrace Comparative Effectiveness Research?” Academic Medicine, Vol. 86, No. 6. June 2011. Pgs 671-673.
Matching the Designs Source: Thorpe KE et al, Journal of Clinical Epidemiology, 2009