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1、PERSPECTIVEPrioritizingComparative-EffectivenessResearch—IOMRecommendationsinscope,therecommendationsMr.Iglehartisanationalcorrespondentfor3.AvornJ.Debateaboutfundingcompara-theJournal.tive-effectivenessresearch.NEnglJMedmaybemoreinfluentialthan2009;360:1927-9.th
2、eymightotherwisehavebeen,1.InstituteofMedicine.Initialnationalpriori-4.GarberAM,TunisSR.Doescomparative-butthereportisunlikelytoquelltiesforcomparativeeffectivenessresearch.effectivenessresearchthreatenpersonalizedWashington,DC:InstituteofMedicine,medicine?NEnglJ
3、Med2009;360:1925-7.thecontroversysurroundingCER.2009.5.WilenskyGR.Developingacenterforcom-2.IglehartJK.Healthinsurersandmedical-parativeeffectivenessinformation.HealthThisarticle(10.1056/NEJMp0904133)wasimagingpolicy—aworkinprogress.NEnglAff(Millwood)2006;25:w572
4、-w585.publishedonJune30,2009,atNEJM.org.JMed2009;360:1030-7.Copyright©2009MassachusettsMedicalSociety.Comparative-EffectivenessResearch—ImplicationsoftheFederalCoordinatingCouncil’sReportPatrickH.Conway,M.D.,M.Sc.,andCarolynClancy,M.D.Despiteaplethoraofdiagnos-se
5、archandQuality(AHRQ),theTheCouncil’svisionistolayticandtreatmentoptions,NationalInstitutesofHealththefoundationandbuildthein-practicalinformationthatcan(NIH),theDepartmentofVeter-frastructureforCERtodevelopguidehealthcarechoicesforanansAffairs(VA),andothers,butan
6、dprospersoitcaninformde-individualpatientareoftenelu-theARRAsubstantiallyincreasedcisionsmadebypatientsandcli-sive,andtheresultantclinicalun-thefederalinvestmentinCER,nicians.TheCouncilspecificallycertaintyisanimportantfactorproviding$400millionfortheidentifiedhi
7、gh-priorityresearchdrivingregionalvariationsinclin-OfficeoftheSecretaryinthegapsandone-timeinvestmentsinicalpractice.Cliniciansandpa-DepartmentofHealthandHu-infrastructurethatwouldacceler-tientsneedtoknownotonlythatmanServices(DHHS),$400mil-atetheconductofCERbymu
8、lti-atreatmentworksonaveragebutliontotheNIH,and$300millionpleresearchers.WesetthreemainalsowhichinterventionsworktotheAHRQ.Italsoestablishedobjectives:todevelo
