The Veterans Affairs Experience: Comparative Effectiveness Research In A Large Health System

被引：19

作者：

Atkins, David ^{[1
]}

Kupersmith, Joel ^{[1
]}

Eisen, Seth ^{[1
]}

机构：

[1] Dept Vet Affairs, Washington, DC USA

来源：

HEALTH AFFAIRS | 2010年 / 29卷 / 10期

关键词：

RESEARCH INITIATIVE QUERI; INFORMATION-TECHNOLOGY; COLLABORATIVE CARE; QUALITY; LESSONS; VA; IMPLEMENTATION; PERFORMANCE; DISSEMINATION; GUIDELINES;

D O I：

10.1377/hlthaff.2010.0680

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

100404 [儿少卫生与妇幼保健学];

摘要：

Comparative effectiveness research is a tool to use in achieving patient-centered, high-value health care. However, applying the results to individual patients and health systems raises unique issues. Here, we review lessons learned by the Veterans Health Administration (VHA) in developing and implementing the research in a large integrated health system. Decision makers should examine whether individual studies apply to diverse populations, align tools and incentives to adopt evidence-based practices, and consider both the patient and population perspectives. A key challenge remains how to incorporate comparative evidence and patient values into busy clinical practices.

引用

页码：1906 / 1912

页数：7

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