Outcomes and Effectiveness Research in the Private Sector

Health Affairs

Volumn 17, Issue 5, 1998, Pages 75-90

  Mendelson, Daniel N ^a   Goodman, Clifford S ^a   Ahn, Roy ^a   Rubin, Robert J ^a  

^a NONE

Author keywords

[No Author keywords available]

Indexed keywords

GOVERNMENT; HEALTH SERVICES RESEARCH; ORGANIZATION; ORGANIZATION AND MANAGEMENT; OUTCOME ASSESSMENT; REVIEW; UNITED STATES;

HEALTH SERVICES RESEARCH; ORGANIZATIONAL OBJECTIVES; OUTCOME ASSESSMENT (HEALTH CARE); PRIVATE SECTOR; UNITED STATES; UNITED STATES AGENCY FOR HEALTHCARE RESEARCH AND QUALITY;

EID: 0032165213     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.17.5.75     Document Type: Article

References (30)

1. W.L. Roper et al., "Effectiveness in Health Care: An Initiative to Evaluate and Improve Medical Practice," New England Journal of Medicine 319, no. 18 (1988): 1197-1202.
2. Lewin Group, Outcomes and Effectiveness Research in the Private Sector: Final Report (Fairfax, Va.: Lewin Group, 1997).
3. Expert panel members included Linda Burnes Bolton, Cedars Sinai Medical Center; Jean Paul Gagnon, Hoechst Marion Roussel; Barry Ginsburg, Becton Dickinson and Company; Dan Heneghan, HCIA Inc.; John K. Iglehart, Health Affairs; Jean Livingston, University HealthSystem Consortium; Bryan Luce, MedTAP International; Leona Markson, Merck and Co., Inc.; William McGivney, Aetna Life and Casualty; Todd Rich, Genentech; Kevin Schulman, Georgetown University Medical Center; William Smith, Geisinger Health Plan; Reggi Veatch, Report on Medical Guidelines and Outcomes Research; Linda Johnson White, IntraCorp (CIGNA); Matthew Wikler, Ortho-McNeil Pharmaceutical; and Richard Willke, Pharmacia and Upjohn. We convened a full panel meeting in December 1996; the panel subsequently served in a review and advisory capacity.
4. Agency for Health Care Policy and Research/Lewin Expert Panel Meeting, Fairfax, Virginia, December 1996. Space constraints preclude a complete listing of the literature that we reviewed. To obtain a complete bibliography, visit the Health Affairs World Wide Web site, www.projhope.org/HA/sepoct98/currentindex.htm, or contact the authors.
5. S. Greenfield, "The Use of Outcomes in Medical Practice Applications of the Medical Outcomes Study," in Health Care Quality for the Twenty-first Century, ed. J. Couch (Tampa, Fla.: Hillsboro Printing Company, 1995); and R.S. Epstein and L.M. Sherwood, "From Outcomes Research to Disease Management," Annals of Internal Medicine 124, no. 9 (1996): 832-837.
6. S. Greenfield, "The Use of Outcomes in Medical Practice Applications of the Medical Outcomes Study," in Health Care Quality for the Twenty-first Century, ed. J. Couch (Tampa, Fla.: Hillsboro Printing Company, 1995); and R.S. Epstein and L.M. Sherwood, "From Outcomes Research to Disease Management," Annals of Internal Medicine 124, no. 9 (1996): 832-837.
7. B.R. Luce, C.A. Lyles, and A.M. Rentz, "The View from Managed Care Pharmacy," Health Affairs (Winter 1996): 168-176.
8. For example, a November 1997 Association for Pharmacoeconomics and Outcomes Research (APOR) conference on pharmacoeconomic and outcomes issues of lipid therapy was supported in part by educational grants from several major companies (Bayer Corporation, Bristol-Myers Squibb, Merck, Novartis Pharmaceuticals, and Parke-Davis/Pfizer). Aside from various sessions on methodological issues and applications of outcomes and effectiveness research, the conference included short courses on pharmacoeconomics, decision analytic modeling, meta-analysis, and quality-of-life/putcomes instruments.
9. Health Care Financing Administration, "HCFA Awards Contract to Refine and Test Outcome Measures," press release (22 October 1996).
10. J. Patricelli, "The Clinical Research Industry: Drug Development Has Gone Global," Vessels, Arnold, and Henderson Industry Report (10 January 1997).
11. Olsten Kimberly QualityCare, "Children's Asthma Management Program Reduces Costs, Helps Families Cope," press release (28 October 1996).
12. M.R. Gold et al., eds., Cost-Effectiveness in Health and Medicine (New York: Oxford University Press, 1996).
13. M.J. Quon et al., "Direct Comparison of Standard and Insulin Modified Protocols for Minimal Model Estimation of Insulin Sensitivity in Normal Subjects," Diabetes Research 25, no. 4 (1994): 139-149; P.M. Odell, K.M. Anderson, and W.B. Kannel, "New Models for Predicting Cardiovascular Events," Journal of Clinical Epidemiology 47, no. 6 (1994): 583-592; and M.G. Larson, "Assessment of Cardiovascular Risk Factors in the Elderly: The Framingham Heart Study," Statistics in Medicine 14, no. 16 (1995): 1745-1756.
14. M.J. Quon et al., "Direct Comparison of Standard and Insulin Modified Protocols for Minimal Model Estimation of Insulin Sensitivity in Normal Subjects," Diabetes Research 25, no. 4 (1994): 139-149; P.M. Odell, K.M. Anderson, and W.B. Kannel, "New Models for Predicting Cardiovascular Events," Journal of Clinical Epidemiology 47, no. 6 (1994): 583-592; and M.G. Larson, "Assessment of Cardiovascular Risk Factors in the Elderly: The Framingham Heart Study," Statistics in Medicine 14, no. 16 (1995): 1745-1756.
15. M.J. Quon et al., "Direct Comparison of Standard and Insulin Modified Protocols for Minimal Model Estimation of Insulin Sensitivity in Normal Subjects," Diabetes Research 25, no. 4 (1994): 139-149; P.M. Odell, K.M. Anderson, and W.B. Kannel, "New Models for Predicting Cardiovascular Events," Journal of Clinical Epidemiology 47, no. 6 (1994): 583-592; and M.G. Larson, "Assessment of Cardiovascular Risk Factors in the Elderly: The Framingham Heart Study," Statistics in Medicine 14, no. 16 (1995): 1745-1756.
16. M.J. Field and K.N. Lohr, eds., Guidelines for Clinical Practice (Washington: National Academy Press, 1992).
17. M.J. Field and J.C. Feasley, Health Services Research: Work force and Educational Issues (Washington: National Academy Press, 1995).
18. H.P. Forman and B.L. McClennan, "Health Services Research in Radiology: Opportunities and Imperatives," American Journal of Roentgenology 163, no. 2 (1994): 257-261; R.P. Hayes et al., "Linking Health Services Research to Education at an Academic Health Center," Academic Medicine 71, no. 9 (1996): 957-962; and S. Hayward et al., "Evaluation Research in Public Health: Barriers to the Production and Dissemination of Outcomes Data," Canadian Journal of Public Health 87, no. 6 (1996): 413-417.
19. H.P. Forman and B.L. McClennan, "Health Services Research in Radiology: Opportunities and Imperatives," American Journal of Roentgenology 163, no. 2 (1994): 257-261; R.P. Hayes et al., "Linking Health Services Research to Education at an Academic Health Center," Academic Medicine 71, no. 9 (1996): 957-962; and S. Hayward et al., "Evaluation Research in Public Health: Barriers to the Production and Dissemination of Outcomes Data," Canadian Journal of Public Health 87, no. 6 (1996): 413-417.
20. H.P. Forman and B.L. McClennan, "Health Services Research in Radiology: Opportunities and Imperatives," American Journal of Roentgenology 163, no. 2 (1994): 257-261; R.P. Hayes et al., "Linking Health Services Research to Education at an Academic Health Center," Academic Medicine 71, no. 9 (1996): 957-962; and S. Hayward et al., "Evaluation Research in Public Health: Barriers to the Production and Dissemination of Outcomes Data," Canadian Journal of Public Health 87, no. 6 (1996): 413-417.
21. Although they will focus on reviewing existing evidence rather than primary data gathering, the Evidence-Based Practice Centers supported by the AHCPR appear to be addressing some of these topics.
22. European Secondary Prevention Study Group, "Translation of Clinical Trials into Practice: A European Population-Based Study of the Use of Thrombolytics for Acute Myocardial Infarction," Lancet 347, no. 9010 (1996): 1203-1207; A. Haines and R. Jones, "Implementing Findings of Research," British Medical Journal 308, no. 6942 (1994): 1488-1492; Hayward et al., "Evaluation Research in Public Health;" S.L. McFall et al., "Practice Setting and Physician Influences on Judgments of Colon Cancer Treatment by Community Physicians," Health Services Research 31, no. 1 (1996): 5-19; D.E. Kanouse et al., "Dissemination of Effectiveness and Outcomes Research," Health Policy (December 1995): 167-192; and B.S. Mittman and A.L. Siu, "Changing Provider Behavior: Applying Research on Outcomes and Effectiveness in Health Care," in Improving Health Policy and Management: Nine Critical Research Issues for the 1990s, ed. S.M. Shortell and U.E. Reinhardt (Ann Arbor, Mich.: Health Administration Press, 1992).
23. European Secondary Prevention Study Group, "Translation of Clinical Trials into Practice: A European Population-Based Study of the Use of Thrombolytics for Acute Myocardial Infarction," Lancet 347, no. 9010 (1996): 1203-1207; A. Haines and R. Jones, "Implementing Findings of Research," British Medical Journal 308, no. 6942 (1994): 1488-1492; Hayward et al., "Evaluation Research in Public Health;" S.L. McFall et al., "Practice Setting and Physician Influences on Judgments of Colon Cancer Treatment by Community Physicians," Health Services Research 31, no. 1 (1996): 5-19; D.E. Kanouse et al., "Dissemination of Effectiveness and Outcomes Research," Health Policy (December 1995): 167-192; and B.S. Mittman and A.L. Siu, "Changing Provider Behavior: Applying Research on Outcomes and Effectiveness in Health Care," in Improving Health Policy and Management: Nine Critical Research Issues for the 1990s, ed. S.M. Shortell and U.E. Reinhardt (Ann Arbor, Mich.: Health Administration Press, 1992).
24. European Secondary Prevention Study Group, "Translation of Clinical Trials into Practice: A European Population-Based Study of the Use of Thrombolytics for Acute Myocardial Infarction," Lancet 347, no. 9010 (1996): 1203-1207; A. Haines and R. Jones, "Implementing Findings of Research," British Medical Journal 308, no. 6942 (1994): 1488-1492; Hayward et al., "Evaluation Research in Public Health;" S.L. McFall et al., "Practice Setting and Physician Influences on Judgments of Colon Cancer Treatment by Community Physicians," Health Services Research 31, no. 1 (1996): 5-19; D.E. Kanouse et al., "Dissemination of Effectiveness and Outcomes Research," Health Policy (December 1995): 167-192; and B.S. Mittman and A.L. Siu, "Changing Provider Behavior: Applying Research on Outcomes and Effectiveness in Health Care," in Improving Health Policy and Management: Nine Critical Research Issues for the 1990s, ed. S.M. Shortell and U.E. Reinhardt (Ann Arbor, Mich.: Health Administration Press, 1992).
25. European Secondary Prevention Study Group, "Translation of Clinical Trials into Practice: A European Population-Based Study of the Use of Thrombolytics for Acute Myocardial Infarction," Lancet 347, no. 9010 (1996): 1203-1207; A. Haines and R. Jones, "Implementing Findings of Research," British Medical Journal 308, no. 6942 (1994): 1488-1492; Hayward et al., "Evaluation Research in Public Health;" S.L. McFall et al., "Practice Setting and Physician Influences on Judgments of Colon Cancer Treatment by Community Physicians," Health Services Research 31, no. 1 (1996): 5-19; D.E. Kanouse et al., "Dissemination of Effectiveness and Outcomes Research," Health Policy (December 1995): 167-192; and B.S. Mittman and A.L. Siu, "Changing Provider Behavior: Applying Research on Outcomes and Effectiveness in Health Care," in Improving Health Policy and Management: Nine Critical Research Issues for the 1990s, ed. S.M. Shortell and U.E. Reinhardt (Ann Arbor, Mich.: Health Administration Press, 1992).
26. European Secondary Prevention Study Group, "Translation of Clinical Trials into Practice: A European Population-Based Study of the Use of Thrombolytics for Acute Myocardial Infarction," Lancet 347, no. 9010 (1996): 1203-1207; A. Haines and R. Jones, "Implementing Findings of Research," British Medical Journal 308, no. 6942 (1994): 1488-1492; Hayward et al., "Evaluation Research in Public Health;" S.L. McFall et al., "Practice Setting and Physician Influences on Judgments of Colon Cancer Treatment by Community Physicians," Health Services Research 31, no. 1 (1996): 5-19; D.E. Kanouse et al., "Dissemination of Effectiveness and Outcomes Research," Health Policy (December 1995): 167-192; and B.S. Mittman and A.L. Siu, "Changing Provider Behavior: Applying Research on Outcomes and Effectiveness in Health Care," in Improving Health Policy and Management: Nine Critical Research Issues for the 1990s, ed. S.M. Shortell and U.E. Reinhardt (Ann Arbor, Mich.: Health Administration Press, 1992).
27. European Secondary Prevention Study Group, "Translation of Clinical Trials into Practice: A European Population-Based Study of the Use of Thrombolytics for Acute Myocardial Infarction," Lancet 347, no. 9010 (1996): 1203-1207; A. Haines and R. Jones, "Implementing Findings of Research," British Medical Journal 308, no. 6942 (1994): 1488-1492; Hayward et al., "Evaluation Research in Public Health;" S.L. McFall et al., "Practice Setting and Physician Influences on Judgments of Colon Cancer Treatment by Community Physicians," Health Services Research 31, no. 1 (1996): 5-19; D.E. Kanouse et al., "Dissemination of Effectiveness and Outcomes Research," Health Policy (December 1995): 167-192; and B.S. Mittman and A.L. Siu, "Changing Provider Behavior: Applying Research on Outcomes and Effectiveness in Health Care," in Improving Health Policy and Management: Nine Critical Research Issues for the 1990s, ed. S.M. Shortell and U.E. Reinhardt (Ann Arbor, Mich.: Health Administration Press, 1992).
28. P.J. Neumann, D.E. Zinner, and A.D. Paltiel, "The FDA and Regulation of Cost-Effectiveness Claims," Health Affairs (Fall 1996): 54-71.
29. B.S. Byrns et al., "Otitis Media-Related Antibiotic Prescribing Patterns, Outcomes, and Expenditures in a Pediatric Medicaid Population," Pediatrics 100, no. 4 (1997): 585-592; and R.S. Stafford et al., "Variations in Cholesterol Management Practices of U.S. Physicians," Journal of the American College of Cardiology 29, no. 1 (1997): 139-146.
30. B.S. Byrns et al., "Otitis Media-Related Antibiotic Prescribing Patterns, Outcomes, and Expenditures in a Pediatric Medicaid Population," Pediatrics 100, no. 4 (1997): 585-592; and R.S. Stafford et al., "Variations in Cholesterol Management Practices of U.S. Physicians," Journal of the American College of Cardiology 29, no. 1 (1997): 139-146.