By Carol M. Ashton,Nelda P. Wray

ISBN-10: 019996856X

ISBN-13: 9780199968565

For all its expenses, flaws, and inequities, American healthiness care is essentially rooted in a trust that therapy can be in keeping with sturdy medical study. To this finish, among 2003 and 2010, 3 varied federal legislation have been enacted, the latest being the cheap Care Act of 2010, that mandated new federal investments in one of those medical examine known as comparative effectiveness learn (CER) -- study into what works most sensible in clinical care.

Comparative Effectiveness study: proof, medication, and Policy offers the 1st entire account of the way -- and why -- the government made up our minds to make CER a big characteristic of healthiness reform. regardless of prior legislative uptake of coverage proposals on CER, aid for federal mandates took dramatic twists and turns, with eventual compromises solid amid failing bipartisan alliances, detailed pursuits, and mobilized public opinion.

Based on exhaustive learn and first-hand interviews, the authors research the place CER matches within the construction of clinical proof concerning the advantages and harms of remedies for human illnesses and stipulations. Their paintings bargains sobering affirmation that modern American therapy falls, now not strangely, good wanting the evidence-based ideal.

Comparative Effectiveness learn demonstrates that dealing constructively with the huge uncertainties inherent to remedy calls for rules to make the new release of top quality proof an inseparable a part of regimen health and wellbeing care.

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Comparative Effectiveness Research: Evidence, Medicine, and Policy by Carol M. Ashton,Nelda P. Wray


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