Initial National Priorities for Comparative Effectiveness Research

Initial National Priorities for Comparative Effectiveness Research

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2009-11-14

Total Pages: 252

ISBN-13: 0309138361

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Clinical research presents health care providers with information on the natural history and clinical presentations of disease as well as diagnostic and treatment options. In today's healthcare system, patients, physicians, clinicians and family caregivers often lack the sufficient scientific data and evidence they need to determine the best course of treatment for the patients' medical conditions. Initial National Priorities for Comparative Effectiveness Research(CER) is designed to fill this knowledge gap by assisting patients and healthcare providers across diverse settings in making more informed decisions. In this 2009 report, the Institute of Medicine's Committee on Comparative Effectiveness Research Prioritization establishes a working definition of CER, develops a priority list of research topics, and identifies the necessary requirements to support a robust and sustainable CER enterprise. As part of the 2009 American Recovery and Reinvestment Act, Congress appropriated $1.1 billion in federal support of CER, reflecting legislators' belief that better decisions about the use of health care could improve the public's health and reduce the cost of care. The Committee on Comparative Effectiveness Research Prioritization was successful in preparing a list 100 top priority CER topics and 10 recommendations for best practices in the field.


Setting National Priorities

Setting National Priorities

Author: Henry Aaron

Publisher: Brookings Institution Press

Published: 2011-07-01

Total Pages: 513

ISBN-13: 0815719469

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"If the subject of influence in Washington interests you, this series of books deserves your respectful attention...it has changed the ways in which American politicians think about the budget." - The Washington Post For the first time in more than four decades, the federal budget has registered two consecutive surpluses, and the need to reduce the deficit is not casting a pall over the policy debate. This new, highly accessible book examines the policy options that are available in this new environment to address the new and recurring challenges that face the nation. The book, which continues the Brookings Institution's highly acclaimed and influential Setting National Priorities series, will serve as a guide for understanding many of the complex issues that will be discussed during the presidential and congressional campaigns of 2000. The book centers around three themes: providing opportunity in the domestic arena, restoring confidence in government, and adapting to the post-Cold War international environment. It tackles such critical issues as Medicare and social security, tax reform, and foreign policy spending, as well as many areas not included in previous editions; namely, education, urban problems, the environment, trade, government renewal and reform, crime and drugs, and families. In addition to the editors, the contributers are Gary Burtless, I. M. Destler, John J. DiIulio Jr., William Gale, Bruce Katz, Donald F. Kettl, Paul C. Light, Thomas E. Mann, Michael O'Hanlon, Paul R. Portney, Diane Ravitch, Isabel V. Sawhill, and James Sly.


Setting Priorities for Clinical Practice Guidelines

Setting Priorities for Clinical Practice Guidelines

Author: Institute of Medicine

Publisher: National Academies Press

Published: 1995-03-02

Total Pages: 174

ISBN-13: 0309176301

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This book examines methods for selecting topics and setting priorities for clinical practice guideline development and implementation. Clinical practice guidelines are "systematically defined statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances." In its assessment of processes for setting priorities, the committee considers the principles of consistency with the organization's mission, implementation feasibility, efficiency, utility of the results to the organization, and openness and defensibilityâ€"a principle that is especially important to public agencies. The volume also examines the implications of health care restructuring for priority setting and topic selection, including the link between national and local approaches to guidelines development.


Setting National Priorities

Setting National Priorities

Author: Robert D. Reischauer

Publisher: Brookings Institution Press

Published: 2010-12-01

Total Pages: 333

ISBN-13: 0815720572

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The federal policy changes that Congress and the President will have to make as we approach the 21st century will be among the most far-reaching since the enactment of the New Deal. The scope of legislation before policymakers as they continue their efforts to balance the budget will be vast and many of its elements very technical. This new, highly accessible book examines the nature of the challenges confronting policymakers, the options that are available to address these challenges, and the ramifications of the various options. This new book, which continues Brookings' highly acclaimed and influential Setting National Priorities series, will serve as a guide for understanding and evaluating proposals of the next Congress and the new administration. It is also designed to inform the policy debate during the presidential election. Edited by Robert Reischauer, one of the nation's most noted budget experts, the book covers such critical issues as prospects for economic growth, how to reduce domestic discretionary spending, how to restructure Medicare; how much to lower the safety net, how to reshape national security for the post-Cold War world, whether to transform the tax system, and how to prepare for the retirement of the baby boom generation. This book will be extremely useful for citizens anxious to make sense out of the campaign rhetoric, journalists attempting to explain the issues at play, and students of public policy, public health, political science, and economics. In addition to Reischauer, the contributors include Henry J. Aaron, Barry Bosworth, Gary Burtless, David Cutler, William G. Gale, Thomas E. Mann, Charles L. Schultze, John D. Steinbruner, R. Kent Weaver, and Joshua M. Wiener.


Priority Areas for National Action

Priority Areas for National Action

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2003-04-10

Total Pages: 160

ISBN-13: 0309085438

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A new release in the Quality Chasm Series, Priority Areas for National Action recommends a set of 20 priority areas that the U.S. Department of Health and Human Services and other groups in the public and private sectors should focus on to improve the quality of health care delivered to all Americans. The priority areas selected represent the entire spectrum of health care from preventive care to end of life care. They also touch on all age groups, health care settings and health care providers. Collective action in these areas could help transform the entire health care system. In addition, the report identifies criteria and delineates a process that DHHS may adopt to determine future priority areas.


Disease Control Priorities in Developing Countries

Disease Control Priorities in Developing Countries

Author: Dean T. Jamison

Publisher: World Bank Publications

Published: 2006-04-02

Total Pages: 1449

ISBN-13: 0821361805

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Based on careful analysis of burden of disease and the costs ofinterventions, this second edition of 'Disease Control Priorities in Developing Countries, 2nd edition' highlights achievable priorities; measures progresstoward providing efficient, equitable care; promotes cost-effectiveinterventions to targeted populations; and encourages integrated effortsto optimize health. Nearly 500 experts - scientists, epidemiologists, health economists,academicians, and public health practitioners - from around the worldcontributed to the data sources and methodologies, and identifiedchallenges and priorities, resulting in this integrated, comprehensivereference volume on the state of health in developing countries.


Environmentally Significant Consumption

Environmentally Significant Consumption

Author: National Research Council

Publisher: National Academies Press

Published: 1997-07-09

Total Pages: 152

ISBN-13: 0309055989

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There has been much polemic about affluence, consumption, and the global environment. For some observers, "consumption" is at the root of global environmental threats: wealthy individuals and societies use far too much of the earth's resource base and should scale back their appetites to preserve the environment for future generations and allow a decent life for the rest of the world. Other observers see affluence as the way to escape environmental threats: economic development increases public pressure for environmental protection and makes capital available for environmentally benign technologies. The arguments are fed by conflicting beliefs, values, hopes, and fearsâ€"but surprisingly little scientific analysis. This book demonstrates that the relationship of consumption to the environment needs careful analysis by environmental and social scientists and conveys some of the excitement of treating the issue scientifically. It poses the key empirical questions: Which kinds of consumption are environmentally significant? Which actors are responsible for that consumption? What forces cause or explain environmentally significant consumption? How can it be changed? The book presents studies that open up important issues for empirical study: Are there any signs of saturation in the demand for travel in wealthy countries? What is the relationship between environmental consumption and human well-being? To what extent do people in developing countries emulate American consumption styles? The book also suggests broad strategies that scientists and research sponsors can use to better inform future debates about the environment, development, and consumption.


Risk Assessment in Setting National Priorities

Risk Assessment in Setting National Priorities

Author: James J. Bonin

Publisher: Springer Science & Business Media

Published: 2013-03-08

Total Pages: 666

ISBN-13: 1468456822

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The growing perception of the public and politicians that life is extremely risky has led to a dramatic and increasing interest in risk analysis. The risks may be very diverse as demonstrated by the range of subjects covered at the annual meetings of the Society for Risk Analysis. There is a need to pause and see how well the present approaches are serving the nation. The theme, "Setting National Priorities," which was chosen for the 1987 SRA Annual Meeting, reflects the concern that in dealing with individual kinds of risks, society may be more concerned with the trees than the forest. It is surprising how little attention is being given to the holistic aspects of risk. Who, for instance, is responsible for a national strategy to manage the reduction of health or other risks? Individual agencies have the responsibility for specific patterns of exposure, but these are not integrated and balanced to determine how the nation as a whole can obtain the greatest benefit for the very large investment which is made in risk-related research and analysis.


Priorities for the National Vaccine Plan

Priorities for the National Vaccine Plan

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2010-05-17

Total Pages: 368

ISBN-13: 0309156203

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Vaccination is a fundamental component of preventive medicine and public health. The use of vaccines to prevent infectious diseases has resulted in dramatic decreases in disease, disability, and death in the United States and around the world. The current political, economic, and social environment presents both opportunities for and challenges to strengthening the U.S. system for developing, manufacturing, regulating, distributing, funding, and administering safe and effective vaccines for all people. Priorities for the National Vaccine Plan examines the extraordinarily complex vaccine enterprise, from research and development of new vaccines to financing and reimbursement of immunization services. Priorities for the National Vaccine Plan examines the extraordinarily complex vaccine enterprise, from research and development of new vaccines to financing and reimbursement of immunization services. The book makes recommendations about priority actions in the update to the National Vaccine Plan that are intended to achieve the objectives of disease prevention and enhancement of vaccine safety. It is centered on the plan's five goals in the areas of vaccine development, safety, communication, supply and use, and global health.


National Interests And Presidential Leadership

National Interests And Presidential Leadership

Author: Donald E. Nuechterlein

Publisher: Routledge

Published: 2019-04-10

Total Pages: 176

ISBN-13: 0429726422

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Many scholars have ignored the concept of ‘national interest†simply because no logical, systematic means of dealing with this key aspect of international politics has been available. A new approach to defining national interest forms the basis for this study of presidential decisions on U.S. involvement in foreign wars. Professor Nuechterlein looks at various crisis situations to determine what defense, economic, world order, and ideological interests are at stake; he identifies sixteen cost/risk and value factors that affect the U.S. view of which interest is most vital in a given situation. In any dispute, it is the interest that is considered vital—too important to compromise—that is the key element in crisis decisions. Professor Nuechterlein uses his analytical framework to examine the ways Presidents Wilson, Roosevelt, Truman, Johnson, and Nixon perceived the national interest when making their decisions to begin or extend U.S. war involvement. He assesses the value of National Security Council participation in the decision-making process and presents case-study analyses of three imminent U.S. foreign policy concerns—Quebec’s possible separation from Canada, the Panama Canal Treaty, and the potential for race war in South Africa—with an epilogue on the challenges facing Carter. The author suggests that the most important U.S. national interest in the future will be economic, with energy conservation a top priority.