It has become a truism that not only does the United Statesspend more money on health care than do other industrializednations, but also a substantial portion of this sum is wastedon unproved or ineffective diagnosis and therapy. Not surprisingly,then, outcomes research -- that is, the rigorous determinationof what works in medical care and what does not -- figures prominentlyin proposals for health care reform. Outcomes research, by informingthe content of policy positions, payment rules, and practiceguidelines, presumably both solves the problems of quality andcost that beset the health care system and . . . [Full Text of this Article]
The Ascendancy of Outcomes Research
A Philosophical Challenge to Outcomes Research
Outcomes Research and Public Policy
References
Related Letters:
Outcomes Research
Sage W. M., Cangialose C. B., Tanenbaum S. J.
Extract |
Full Text
N Engl J Med 1994;
330:434-435, Feb 10, 1994.
Correspondence
This article has been cited by other articles:
August, D. A., Serrano, D.
(2007). Outcomes Research in Specialized Nutrition Support. Nutr Clin Pract
22: 602-608
[Abstract][Full Text]
Singh, H., Sethi, S., Raber, M., Petersen, L. A.
(2007). Errors in Cancer Diagnosis: Current Understanding and Future Directions. JCO
25: 5009-5018
[Abstract][Full Text]
Kravitz, R. L.
(2005). Doing Things Better vs Doing Better Things. Ann Fam Med
3: 483-485
[Full Text]
Jobanputra, P., Arthur, V., Pugh, M., Spannuth, F., Griffiths, P., Thomas, E., Sheeran, T.
(2005). Quality of care for NSAID users: development of an assessment tool. Rheumatology (Oxford)
44: 633-637
[Abstract][Full Text]
Griffiths, F., Green, E., Tsouroufli, M.
(2005). The nature of medical evidence and its inherent uncertainty for the clinical consultation: qualitative study. BMJ
330: 511-
[Abstract][Full Text]
Tanenbaum, S. J.
(2005). Evidence-Based Practice As Mental Health Policy: Three Controversies And A Caveat. Health Aff (Millwood)
24: 163-173
[Abstract][Full Text]
Rodwin, M. A.
(2001). The Politics of Evidence-Based Medicine. Journal of Health Politics, Policy and Law
26: 439-446
(1999). Implementation of the guidelines. CMAJ
161: s60-62
[Full Text]
Casalino, L. P.
(1999). The Unintended Consequences of Measuring Quality on the Quality of Medical Care. NEJM
341: 1147-1150
[Full Text]
Towle, A., Godolphin, W., Greenhalgh, T., Gambrill, J.
(1999). Framework for teaching and learning informed shared decision making • Commentary: Competencies for informed shared decision making • Commentary: Proposals based on too many assumptions. BMJ
319: 766-771
[Full Text]
Bilsker, D., Goldner, E. M
(1999). Teaching evidence-based practice in mental health. Evid. Based Ment. Health
2: 68-69
[Full Text]
Goodman, S. N.
(1999). Probability at the Bedside: The Knowing of Chances or the Chances of Knowing?. ANN INTERN MED
130: 604-606
[Full Text]
Greenhalgh, T.
(1999). Narrative based medicine: Narrative based medicine in an evidence based world. BMJ
318: 323-325
[Full Text]
Carpenter, C. E., Johnson, N. E., Rosenfeld, J. F.
(1998). The Impact of Climcal Guidelines On Practice Patterns: Doing More versus Doing Less. American Journal of Medical Quality
13: 98-103
[Abstract]
Brailer, D. J.
(1998). Commentary: Clinical Decision Support for Quality Management. American Journal of Medical Quality
13: 104-106
Moons, K. G.M., Stijnen, T., Michel, B. C., Buller, H. R., Van Es, G.-A., Grobbee, D. E., Habbema, J. D. F.
(1997). Application of Treatment Thresholds to Diagnostic-test Evaluation: An Alternative to the Comparison of Areas under Receiver Operating Characteristic Curves. Med Decis Making
17: 447-454
[Abstract]
FACISZEWSKI, T., BROSTE, S. K., FARDON, D.
(1997). Quality of Data Regarding Diagnoses of Spinal Disorders in Administrative Databases. A Multicenter Study. JBJS
79: 1481-8
[Abstract][Full Text]
Fortinsky, R. H., Wasson, J. H.
(1997). How do physicians diagnose dementia? Evidence from clinical vignette responses. AM J ALZHEIMERS DIS OTHER DEMEN
12: 51-61
[Abstract]
Belkin, G. S.
(1997). The Technocratic Wish: Making Sense and Finding Power in the "Managed" Medical Marketplace. Journal of Health Politics, Policy and Law
22: 509-532
[Abstract]
Greenhalgh, T.
(1996). "Is my practice evidence-based?". BMJ
313: 957-958
[Full Text]
Tanenbaum, S. J.
(1995). Think Before You Prep: Defining the Terms of Change in American Healthcare. Ann. Thorac. Surg.
60: 1530-1533
[Abstract][Full Text]
Sederer, L. I., Hermann, R., Dickey, B.
(1995). The Imperative of Outcome Assessment in Psychiatry. American Journal of Medical Quality
10: 127-132
[Abstract]
Pauly, M. V.
(1995). Practice Guidelines: Can They Save Money? Should They?. J Law Med Ethics
23: 65-74
Feder, G.
(1994). Clinical guidelines in 1994. BMJ
309: 1457-1458
[Full Text]
Frankford, D. M.
(1994). Scientism and Economism in the Regulation of Health Care. Journal of Health Politics, Policy and Law
19: 773-799
[Abstract]
Rosenstein, A. H.
(1994). Financial Risk, Accountability and Outcome Management: Using Data to Manage and Measure Clinical Performance. American Journal of Medical Quality
9: 116-121
[Abstract]
Sage, W. M., Cangialose, C. B., Tanenbaum, S. J.
(1994). Outcomes Research. NEJM
330: 434-435
[Full Text]
Kassirer, J. P.
(1993). The Quality of Care and the Quality of Measuring It. NEJM
329: 1263-1265
[Full Text]