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Comparative Effectiveness Research - Evidence, Medicine, and Policy (Hardcover)
Loot Price: R2,298
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Comparative Effectiveness Research - Evidence, Medicine, and Policy (Hardcover)
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For all its costs, flaws, and inequities, American health care is
fundamentally rooted in a belief that treatment should be based on
solid scientific research. To this end, between 2003 and 2010,
three different federal laws were enacted, the most recent being
the Affordable Care Act of 2010, that mandated new federal
investments in a type of clinical research called comparative
effectiveness research (CER) - research into what works best in
medical care. Comparative Effectiveness Research: Evidence,
Medicine, and Policy provides the first complete account of how -
and why - the federal government decided to make CER an important
feature of health reform. Despite earlier legislative uptake of
policy proposals on CER, support for federal mandates took dramatic
twists and turns, with eventual compromises forged amid failing
bipartisan alliances, special interests, and mobilized public
opinion. Based on exhaustive research and first-hand interviews,
the authors examine where CER fits in the production of scientific
evidence about the benefits and harms of treatments for human
diseases and conditions. Their work offers sobering confirmation
that contemporary American medical care falls, not surprisingly,
well short of the evidence-based ideal. Comparative Effectiveness
Research demonstrates that dealing constructively with the vast
uncertainties inherent to medical care requires policies to make
the generation of high-quality evidence an inseparable part of
routine health care.
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