There is currently heightened interest in optimizing health care through the generation of new knowledge on the effectiveness of health care services. The United States must substantially strengthen its capacity for assessing evidence on what is known and not known about "what works" in health care. Even the most sophisticated clinicians and consumers struggle to learn which care is appropriate and under what circumstances. Knowing What Works in Health Care looks at the three fundamental health care issues in the United States--setting priorities for evidence assessment, assessing evidence (systematic review), and developing evidence-based clinical practice guidelines--and how each of these contributes to the end goal of effective, practical health care systems. This book provides an overall vision and roadmap for improving how the nation uses scientific evidence to identify the most effective clinical services. Knowing What Works in Health Care gives private and public sector firms, consumers, health care professionals, benefit administrators, and others the authoritative, independent information required for making essential informed health care decisions.
Jill Eden, Ben Wheatley, Barbara McNeil, and Harold Sox, Editors, Committee on Reviewing Evidence to Identify Highly Effective Clinical Services
1 Front Matter; 2 Summary; 3 1 Introduction; 4 2 An Imperative for Change; 5 3 Setting Priorities for Evidence Assessment; 6 4 Systematic Reviews: The Central Link Between Evidence and Clinical Decision Making; 7 5 Developing Trusted Clinical Practice Guidelines; 8 6 Building a Foundation for Knowing What Works in Health Care; 9 Appendix A: Acronyms and Abbreviations; 10 Appendix B: Workshop Agendas and Questions to Panelists; 11 Appendix C: Template for Submissions of Topics to the Agency for Healthcare Research and Quality; 12 Appendix D: Standards for Reporting Meta-Analyses of Clinical Trials and Observational Studies: QUOROM and MOOSE; 13 Appendix E: Examples of ECRI Institute and Hayes, Inc., Quick Turnaround Reports; 14 Appendix F: Guideline Standards: The AGREE Instrument and COGS Checklist; 15 Appendix G: Committee Biographies; 16 Index
National Research Council, Division of Behavioral and Social Sciences and Education, Institute of Medicine, and Families Board on Children, Youth, Steve Olson
Institute of Medicine, Board on the Health of Select Populations, and Transgender Health Issues and Research Gaps and Opportunities Committee on Lesbian, Gay, Bisexual
Institute of Medicine, Board on Population Health and Public Health Practice, Division of Health Promotion and Disease Prevention, Division of International Health
Institute of Medicine, Committee to Develop Methods Useful to the Department of Veteran Affairs in Estimating Its Physician Requirements, Joseph Lipscomb
Institute of Medicine, Board on Health Care Services, Committee on the Mental Health Workforce for Geriatric Populations, Dan Blazer, Mai Le, Katie Maslow, Jill Eden
Institute of Medicine, Board on Health Care Services, Committee on the Governance and Financing of Graduate Medical Education, Gail Wilensky, Donald Berwick, Jill Eden
and Medicine National Academies of Sciences, Engineering, Health and Medicine Division, Board on Health Care Services, Committee on Family Caregiving for Older Adults, Jill Eden, Richard Schulz
Institute of Medicine, Board on Health Care Services, Committee on Standards for Systematic Reviews of Comparative Effectiveness Research, Sally Morton, Alfred Berg, Laura Levit, Jill Eden
National Research Council, Institute of Medicine, National Cancer Policy Board, Committee on Assessing Improvements in Cancer Care in Georgia, Joseph V. Simone, Jill Eden