Title Redesigning the clinical effectiveness research paradigm : innovation and practice-based approaches : workshop summary / LeighAnne Olsen and J. Michael McGinnis, editors ; Institute of Medicine of the National Academies

Published Washington, D.C. : National Academies Press, ©2010

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Description 1 online resource (xxi, 418 pages) : illustrations Series Learning healthcare system series Learning healthcare system series. Contents Evidence development for healthcare decisions: improving timeliness, reliability, and efficiency -- Cases in point: learning from experience -- Taking advantage of new tools and techniques -- Organizing and improving data utility -- Moving to the next generation of studies -- Aligning policy with research opportunities -- Organizing the research community for change Summary "Recent scientific and technological advances have accelerated our understanding of the causes of disease development and progression, and resulted in innovative treatments and therapies. Ongoing work to elucidate the effects of individual genetic variation on patient outcomes suggests the rapid pace of discovery in the biomedical sciences will only accelerate. However, these advances belie an important and increasing shortfall between the expansion in therapy and treatment options and knowledge about how these interventions might be applied appropriately to individual patients. The impressive gains made in Americans' health over the past decades provide only a preview of what might be possible when data on treatment effects and patient outcomes are systematically captured and used to evaluate their effectiveness. Needed for progress are advances as dramatic as those experienced in biomedicine in our approach to assessing clinical effectiveness. In the emerging era of tailored treatments and rapidly evolving practice, ensuring the translation of scientific discovery into improved health outcomes requires a new approach to clinical evaluation. A paradigm that supports a continual learning process about what works best for individual patients will not only take advantage of the rigor of trials, but also incorporate other methods that might bring insights relevant to clinical care and endeavor to match the right method to the question at hand. The Institute of Medicine Roundtable on Value & Science-Driven Health Care's vision for a learning healthcare system, in which evidence is applied and generated as a natural course of care, is premised on the development of a research capacity that is structured to provide timely and accurate evidence relevant to the clinical decisions faced by patients and providers. As part of the Roundtable's Learning Healthcare System series of workshops, clinical researchers, academics, and policy makers gathered for the workshop Redesigning the Clinical Effectiveness Research Paradigm: Innovation and Practice-Based Approaches. Participants explored cutting-edge research designs and methods and discussed strategies for development of a research paradigm to better accommodate the diverse array of emerging data resources, study designs, tools, and techniques. Presentations and discussions are summarized in this volume."--Publisher's description Bibliography Includes bibliographical references Notes Print version record Subject Medical care -- Research -- Congresses Medical care -- Evaluation -- Congresses Medical care -- Quality -- United States -- Congresses Outcome assessment (Medical care) Evidence-based medicine. Medical care -- Utilization review. Health Services Research Evidence-Based Medicine -- Congresses -- United States Research Design -- Congresses -- United States Quality of Health Care -- standards -- United States -- Congresses Outcome Assessment (Health Care) -- United States -- Congresses Clinical Medicine -- standards -- United States -- Congresses Outcome Assessment (Health Care) -- Congresses -- United States Utilization Review -- Congresses -- United States Evidence-Based Medicine -- standards -- United States -- Congresses Outcome Assessment, Health Care Evidence-Based Medicine Utilization Review Research Design Clinical Medicine -- standards Evidence-Based Medicine -- standards Quality of Health Care -- standards Treatment Outcome Outcome and Process Assessment, Health Care Evidence-Based Practice MEDICAL -- Research. Outcome assessment (Medical care) Medical care -- Utilization review Evidence-based medicine Medical care -- Evaluation Medical care -- Research SUBJECT United States Subject United States Genre/Form proceedings (reports) Conference papers and proceedings Conference papers and proceedings. Actes de congrès. Form Electronic book Author Olsen, LeighAnne. McGinnis, J. Michael. LC no. 2012397192 ISBN 9780309119894 0309119898 1282885626 9781282885622

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