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As our nation enters a new era of medical science that offers the real prospect of personalized health care, we will be confronted by an increasingly complex array of health care options and decisions. The Learning Healthcare System considers how health care is structured to develop and to apply evidence--from health profession training and infrastructure development to advances in research methodology, patient engagement, payment schemes, and measurement--and highlights opportunities for the creation of a sustainable learning health care system that gets the right care to people when they need it and then captures the results for improvement. This book will be of primary interest to hospital and insurance industry administrators, health care providers, those who train and educate health workers, researchers, and policymakers. The Learning Healthcare System is the first in a series that will focus on issues important to improving the development and application of evidence in health care decision making.The Roundtable on Evidence-Based Medicine serves as a neutral venue for cooperative work among key stakeholders on several dimensions: to help transform the availability and use of the best evidence for the collaborative health care choices of each patient and provider; to drive the process of discovery as a natural outgrowth of patient care; and, ultimately, to ensure innovation, quality, safety, and value in health care.
Roundtable on Evidence-Based Medicine, LeighAnne Olsen, Dara Aisner, and J. Michael McGinnis, editors
1 Front Matter; 2 Summary; 3 1 Hints of a Different Way-Case Studies in Practice-Based Evidence; 4 2 The Evolving Evidence Base-Methodologic and Policy Challenges; 5 3 Narrowing the Research-Practice Divide-Systems Considerations; 6 4 New Approaches-Learning Systems in Progress; 7 5 Developing the Test Bed: Linking Integrated Service Delivery Systems; 8 6 The Patient as a Catalyst for Change; 9 7 Training the Learning Health Professional; 10 8 Structuring the Incentives for Change; 11 Appendix A Workshop Agenda; 12 Appendix B Biographical Sketches of Participants; 13 Appendix C Workshop Attendee List; 14 Appendix D IOM Roundtable on Evidence-Based Medicine
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, Roundtable on Value and Science-Driven Health Care, J. Michael McGinnis, LeighAnne Olsen, W. Alexander Goolsby, Claudia Grossmann
Institute of Medicine, Board on Global Health, Forum on Microbial Threats, Alison Mack, Rebekah Hutton, LeighAnne Olsen, David A. Relman, Eileen R. Choffnes