Date: June 30, 2009
Contacts: Christine Stencel, Senior Media Relations Officer
Alison Burnette, Media Relations Assistant
Office of News and Public Information
202-334-2138; e-mail <email@example.com>
FOR IMMEDIATE RELEASE
IOM Report Recommends 100 Initial Priorities for Research To Determine Which Health Care Approaches Work Best
A committee convened by the IOM developed the list of priority topics at the request of Congress as part of a $1.1 billion effort to improve the quality and efficiency of health care through comparative effectiveness research outlined in the American Recovery and Reinvestment Act of 2009. The committee's report provides independent guidance -- informed by extensive public input -- to Congress and the secretary of the U.S. Department of Health and Human Services on how to spend $400 million on research to compare health services and approaches to care.
Health experts and policymakers anticipate that comparative effectiveness research will yield greater value from
"Health care decisions too often area matter of guesswork because we lack good evidence to inform them," said committee co-chair Harold C. Sox, editor, Annals of Internal Medicine,
"This report lays the foundation for an ongoing enterprise to provide the evidence that health care providers need to make better decisions and achieve better results," added co-chair Sheldon Greenfield, Donald Bren Professor of Medicine and executive director, Health Policy Research Institute, University of California, Irvine. "To make the most of this enterprise, HHS will need to ensure that the results are translated into practice and that the public is involved in priority setting to ensure that the research is relevant to everyday health care."
The 100 priority areas reflect the insights of health professionals, consumer advocates, policy analysts, and others who submitted nominations through an online form that was open to any individual or organization and through presentations at public meetings. The committee received 1,268 unique topic suggestions, which it narrowed to 100 based on a set of criteria that included its charge to develop a balanced portfolio. The list reflects a range of clinical categories, populations to be studied, categories of interventions, and research methodologies. The committee developed its list of priorities independent from the comparative effectiveness research activities that other organizations have been charged to do through the American Recovery and Reinvestment Act.
The report also recommends actions necessary to establish an ongoing comparative effectiveness research effort that would not only carry out studies on the 100 recommended initial topics, but also develop priorities for future research and translate the knowledge gained into improvements in clinical care. Effective coordination and governance among the agencies and disciplines involved will be crucial for ensuring the sustainability of the enterprise, the report notes. Moreover, a skilled work force is needed to carry out the research. The committee underscored the importance of having patients, families, and their caregivers actively engaged in identifying research topics of most concern to them. Ultimately, comparative effectiveness research will fall short of its potential without vigorous efforts by HHS to promote adoption of the findings by health care providers and organizations, the committee added.
The study was sponsored by the U.S. Department of Health and Human Services. Established in 1970 under the charter of the National Academy of Sciences, the
Pre-publication copies of Initial National Priorities for Comparative Effectiveness Research are available from the National Academies Press; tel. 202-334-3313 or 1-800-624-6242 or on the Internet at http://www.nap.edu. Reporters may obtain a copy from the Office of News and Public Information (contacts listed above).
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[ This news release and report are available at http://national-academies.org ]
Board on Health Care Services
Committee on Comparative Effectiveness Research Prioritization
Donald Bren Professor of Medicine, and
Center for Health Policy Research
Harold C. Sox, M.D., M.A.C.P. (co-chair)
Annals of Internal Medicine
Christine K. Cassel, M.D., M.A.C.P
President and Chief Executive Officer
American Board of Internal Medicine
Kay Dickersin, Ph.D., M.A.
Professor of Epidemiology; and
Director, Center for Clinical Trials; and
Alan M. Garber, M.D., Ph.D.
Henry J. Kaiser Professor and Professor of Medicine; and
Director, Center for Health Policy, and
Director, Center for Primary Care and Outcomes Research
Constantine Gatsonis, Ph.D.
Professor of Medical Science (Biostatistics), and
Center for Statistical Sciences
Gary L. Gottlieb, M.D., M.B.A.
Brigham and Women’s Hospital, and
Professor of Psychiatry
James A. Guest, J.D.
President and Chief Executive Officer
Mark Helfand, M.D., M.P.H., M.S.
Professor of Medicine and Director
Maria Carolina Hinestrosa, M.P.H. +
Executive Vice President for Programs and Planning
National Breast Cancer Coalition
George J. Isham, M.D., M.S.
Medical Director and Chief Health Officer
Arthur A. Levin, M.P.H.
Center for Medical Consumers
JoAnn E. Manson, M.D., Dr.P.H., M.P.H., F.A.C.P.
Professor of Medicine and the Elizabeth Fay Brigham Professor of Women's Health
Division of Preventive Medicine
Brigham and Women's Hospital
Katie Maslow, M.S.W.
Mark B. McClellan, M.D., Ph.D.
Sally C. Morton, Ph.D., M.S.
Vice President for Statistics and Epidemiology
Research Triangle, N.C.
Neil R. Powe, M.D., M.P.H., M.B.A.
Chief, Medical Services
Professor and Vice Chairman
Department of Medicine
Joe V. Selby, M.D., M.P.H.
Division of Research
Lisa Simpson, M.B., B.Ch. M.P.H., FAAP
Founder and Director
Center for Medical Technology Policy
I. Steven Udvarhelyi, M.D., M.Sc.
Senior Vice President and Chief Medical Officer
A. Eugene Washington, M.D., M.Sc.
Executive Vice Chancellor and Provost
James N. Weinstein, D.O., M.S.
Director, The Dartmouth Institute for Health Policy and Clinical Practice, and
Professor and Chair, Department of Orthopedic Surgery,
Vice Chair, Board of Governors,
Robert Ratner, M.D.