Creating a new structure for research on health care effectiveness

Joel Kupersmith, Nancy Sung, Myron Genel, Harold Slavkin, Robert Califf, Robert Bonow, Louis Sherwood, Nancy Reame, Veronica Catanese, Catherine Baase, John Feussner, Adrian S Dobs, Hugh Tilson, E. Albert Reece

Research output: Contribution to journalArticle

Abstract

Effectiveness research (a term we use in preference to the more confining and difficult health services or outcomes research) evaluates the clinical setting and the health care system on which it depends. It uses a variety of health care assessment techniques and the practical clinical trial to inform clinical practice, quality interventions, and health policy decisions. Effectiveness research had not had sufficient public or private funding to produce the information needed to facilitate evidence-based health care improvement. However, recent trends, such as the likelihood for continued substantial increases in health care costs and concern regarding the quality and safety of the US health care system, are among the important arguments for increasing its funding and capacity. We propose a new entity, a public-private consortium to expand and offer new capability and resources in this area. The consortium would consist of all relevant public and private entities. It would be organized into an executive committee, which would identify research priorities and panels to design requests for proposals. Competitive peer-reviewed proposals, transparency and balance of forces in choice of topics, conduct of research, and interpretation of results would be important features. Metrics for success would be use of the data derived from consortium projects in medical decision making and benefit design. The consortium would provide balance and potential mediation of conflicting or competing interests in which all stakeholders will be present to establish the rules. Broad representation of all interests would serve to avoid the economic, policy, and political issues that have bedeviled past efforts. Models for the consortium include the Health Effectiveness Institute, the Centers for Education and Research on Therapeutics, and the Transportation Research Board.

Original languageEnglish (US)
Pages (from-to)67-72
Number of pages6
JournalJournal of Investigative Medicine
Volume53
Issue number2
StatePublished - Mar 2005

Fingerprint

Health Services Research
Health care
Research
Delivery of Health Care
Competitive Bidding
Health
Pragmatic Clinical Trials
Therapeutic Human Experimentation
Evidence-Based Practice
Health Policy
Health Care Costs
Economics
Outcome Assessment (Health Care)
Transparency
Safety
Education
Decision making
Costs

Keywords

  • Effectiveness research
  • Health insurance
  • Health services research
  • Outcomes research
  • Public/private consortium
  • Quality
  • Research
  • Research funding

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

Cite this

Kupersmith, J., Sung, N., Genel, M., Slavkin, H., Califf, R., Bonow, R., ... Reece, E. A. (2005). Creating a new structure for research on health care effectiveness. Journal of Investigative Medicine, 53(2), 67-72.

Creating a new structure for research on health care effectiveness. / Kupersmith, Joel; Sung, Nancy; Genel, Myron; Slavkin, Harold; Califf, Robert; Bonow, Robert; Sherwood, Louis; Reame, Nancy; Catanese, Veronica; Baase, Catherine; Feussner, John; Dobs, Adrian S; Tilson, Hugh; Reece, E. Albert.

In: Journal of Investigative Medicine, Vol. 53, No. 2, 03.2005, p. 67-72.

Research output: Contribution to journalArticle

Kupersmith, J, Sung, N, Genel, M, Slavkin, H, Califf, R, Bonow, R, Sherwood, L, Reame, N, Catanese, V, Baase, C, Feussner, J, Dobs, AS, Tilson, H & Reece, EA 2005, 'Creating a new structure for research on health care effectiveness', Journal of Investigative Medicine, vol. 53, no. 2, pp. 67-72.
Kupersmith J, Sung N, Genel M, Slavkin H, Califf R, Bonow R et al. Creating a new structure for research on health care effectiveness. Journal of Investigative Medicine. 2005 Mar;53(2):67-72.
Kupersmith, Joel ; Sung, Nancy ; Genel, Myron ; Slavkin, Harold ; Califf, Robert ; Bonow, Robert ; Sherwood, Louis ; Reame, Nancy ; Catanese, Veronica ; Baase, Catherine ; Feussner, John ; Dobs, Adrian S ; Tilson, Hugh ; Reece, E. Albert. / Creating a new structure for research on health care effectiveness. In: Journal of Investigative Medicine. 2005 ; Vol. 53, No. 2. pp. 67-72.
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