Test 2 Flashcards
CER
the generation and synthesis of evidence that compares the benefits and harms of alternative methods to prevent diagnose treat and monitor a clinical conditions or to improve the delivery
1972
Office of Technology Assessment; advised congress on the effectiveness of healthcare
1975
national center for healthcare technology; endorsed research on a team
1989
Agency for Healthcare Policy and Research aka Agency for healthcare Research and Quality; led to 2003
2003
the medicare prescription drug, improvement and modernization act; facilitate the development of evidence and update practice guidelines
2010
Patient Centered Outcomes Research institute
American Recovery and Reinvestment Act
Feb 2009; increased CER by 1.1 billion; federal coordinating council for CER
federal coordinating council
to assist agencies of the federal government in coordinating comparative effectiveness and related health services research; includes AHRQ, NIH, CDC, CMS, FDA, VA
coordination functions
research infrastructure, workforce development, methods development
efficacy
extent to which a healthcare intervention is beneficial when administered under optimal circumstances
effectiveness
extend to which a healthcare intervention does more good than harm in real world patient populations
tenets of CER
from patient perspective or population perspective
compares at least 2 alternative methods
describes the results at the population and subgroup levels
measures outcomes
employs methods and data sources appropriate for the decision of interest
conducted in settings similar to where the intervention will be used
different types of data sources utilized in CER
experimental studies
prospective observational studies
retrospective studies
decision models with or without cost information
systematic reviews of existing research including meta analysis
stakeholder
individual organization or communities that have a direct interest in the process and outcomes of a project research or policy endeavor
stakeholder
represent a broad range of individuals selected to create a shared understanding and make effective decisions; patients and consumers, clinicians, healthcare providers, payers and purchasers, policymakers, regulators, life science industry, researchers, research funders