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Dissemination and adoption of comparative effectiveness research findings when findings challenge current practices


Verfasser: Schneider, Eric C.    
Verlagsort, Verlag: Santa Monica, CA, RAND
Umfangsangabe: 1 Online-Ressource
Grundsignatur: eBook
ISBN/ISSN: 978-0-8330-7936-7 , 0-8330-7936-0

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Grundsignatur:
eBook
Verfasser: Titel:
Dissemination and adoption of comparative effectiveness research findings when findings challenge current practices
Hrsg./Bearb.: Hrsg./Bearb.: Hrsg./Bearb.: Hrsg./Bearb.: Sprache:
eng
URL: SBKAnsetz:
RAND Health
SBKAnsetz:
Rand Corporation
SBKAnsetz:
United States / Department of Health and Human Services
Verf.Vorlag:
Eric C. Schneider [and four others]
Verlagsort:
Santa Monica, CA
Verlag:
RAND
ISBN/ISSN:
978-0-8330-7936-7
Preis/Einband:
electronic bk
ISBN/ISSN:
0-8330-7936-0
Preis/Einband:
electronic bk
Jahr (Ansetzg):
2011
Jahr:
2011
Umfangsangabe:
1 Online-Ressource
DDC:
610.72
LC-Notation:
R852
Schlagwort 710:
Medicine
Schlagwort 710:
Quality Assurance, Health Care
Schlagwort 710:
Evidence-Based Medicine
Schlagwort 710:
Clinical Trials as Topic
Schlagwort 710:
Comparative Effectiveness Research
Schlagwort 710:
Delivery of Health Care / methods
Abstract:
Introduction and Summary of Approach -- CATIE Case Study -- COURAGE Case-Study Report -- SPORT Case-Study Report -- COMPANION Case-Study Report -- CPOE Case-Study Report -- Factors Influencing the Translation of CER Research into New Clinical Practices: A Synthesis of Themes from the Case Studies -- Policy Implications of the Case-Study Results
Abstract:
Insufficient evidence regarding the effectiveness of medical treatments has been identified as a key source of inefficiency in the U.S. healthcare system. Variation in the use of diagnostic tests and treatments for patient with similar symptoms or conditions has been attributed to clinical uncertainty, since the published scientific evidence base does not provide adequate information to determine which treatments are most effective for patients with specific clinical needs. The federal government has made a dramatic investment in comparative effectiveness research (CER), with the expectation that CER will influence clinical practice and improve the efficiency of healthcare delivery. To do this, CER must provide information that supports fundamental changes in healthcare delivery and informs the choice of diagnostic and treatment strategies. This report summarizes findings from a qualitative analysis of the factors that impede the translation of CER into clinical practice and those that facilitate it. A case-study methodology is used to explore the extent to which these factors led to changes in clinical practice following five recent key CER studies. The enabling factors and barriers to translation for each study are discussed, the root causes for the failure of translation common to the studies are synthesized, and policy options that may optimize the impact of future CER⁰́₄particularly CER funded through the American Recovery and Reinvestment Act of 2009⁰́₄are proposed
Lokal-ISN:
HL012869224