Effectiveness and Outcomes in Health Care

Division of Health Care Services

• 1 Front Matter; 2 Part I: Introduction, 1 Genesis of the Effectiveness Initiative and IOM; 3 2 Promise and Limitations of Effectiveness and Outcomes Research; 4 Part II: Overview, 3 Research on the Effectiveness of Medical Treatment: New Challenges and Opportunities; 5 4 The Health Care Financing Administration and the Effectiveness Initiative; 6 5 The Effectiveness Initiative: Retrospective and Prospects; 7 6 The Social Perspective; 8 7 The Clinical Perspective; 9 8 The Legislative Perspective; 10 Part III: The IOM Clinical Condition Workshops, 9 Breast Cancer; 11 10 Hip Fracture; 12 11 Claims Data and Effectiveness: Acute Myocardial Infarction and Other Examples; 13 Part IV: Methodological Issues and Work in Progress, 12 The Role of Large Data Bases in Effectiveness Research; 14 13 Administrative Data in Effectiveness Studies: The Prostatectomy Assessment; 15 14 Issues in the Use of Large Data Bases for Effectiveness Research; 16 15 Measuring Patient Function and Well-Being: Some Lessons from the Medical Outcomes Study; 17 16 The Uniform Clinical Data Set; 18 17 Assessing Health-Related Quality of Life Outcomes; 19 18 Using Patient Reports of Outcomes to Assess Effectiveness of Medical Care; 20 19 Studying Outcomes for Patients with Depression: Initial Findings from the Medical Outcomes Study; 21 20 Effectiveness Research and Changing Physician Practice Patterns; 22 21 Applying Effectiveness and Outcomes Research to Clinical Practice; 23 22 An Attempt to Manage Variation in Obstetrical Practice; 24 23 Using Outcome Measures to Improve Care Delivered by Physicians and Hospitals; 25 Part V: Where Do We Go From Here?, 24 The Need for Reasonable Expectations; 26 25 Use of Effectiveness Research in Managed Care Plans; 27 26 Gaining Acceptance for Effectiveness and Outcomes Research; 28 List of Authors