The American Reinvestment and Recovery Act gives comparative-effectivenessresearch (CER) a large boost in funding over the next 2 years.Despite a consensus that better information about the relativeeffectiveness of different medical interventions is needed toimprove the quality and value of care, some view CER with skepticism.Recently, the Partnership to Improve Patient Care, a coalitionof 36 industry, patient-advocacy, and clinician organizations,raised concerns that CER will not take adequate account of individualpatient differences and may impede the development and adoptionof improvements in medical care and "stymie progress in personalizedmedicine."1
Dr. Garber is a staff physician at the Veterans Affairs Palo Alto Health Care System in Palo Alto, CA, and a professor of medicine, director of the Center for Primary Care and Outcomes Research, and director of the Center for Health Policy at Stanford University, Stanford, CA. Dr. Tunis is the founder and director of the Center for Medical Technology Policy, Baltimore.
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