An unintended effect of the Medicare Part D benefit could bethe creation of the world's most valuable resource for understandinghow drugs are used, especially by the elderly and the chronicallyill, and their risks and benefits. This resource would be createdby linking information on drug dispensing to patients' otherhealth information. Medicare data are available for more than40 million people. These data can transform our ability to assessdrugs under real-life conditions, particularly in this vulnerablepopulation, which is often underrepresented in clinical trials.However, in order to realize this benefit, we must make it a. . . [Full Text of this Article]
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Dr. Platt is a professor in and chair of the Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, and principal investigator of the HMO Research Network Center for Education and Research on Therapeutics, Boston, and principal investigator of an FDA contract (HHSF 223200510010C) to perform post-marketing surveillance for drug risks and benefits. Dr. Ommaya is a senior staff member at the Institute of Medicine, Washington D.C.
An interview with Dr. Arnold Epstein about the Medicare prescription-drug benefit may be heard at www.nejm.org. Dr. Epstein is a professor of health care policy at the Harvard School of Public Health, a professor of medicine at Harvard Medical School, and an associate editor of the Journal.
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