The Veterans Affairs Experience: Comparative Effectiveness Research In A Large Health System
The Veterans Affairs Experience: Comparative Effectiveness Research In A Large Health System
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DOI：
10.1377/hlthaff.2010.0680
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发表时间：
2010-10-01
期刊：
影响因子：
9.7
通讯作者：
Eisen, Seth
中科院分区：
文献类型：
--
作者：
Atkins, David;Kupersmith, Joel;Eisen, Seth
比较有效性研究是实现以患者为中心的高价值医疗保健的一种工具。然而，将结果应用于个别患者和卫生系统会产生独特的问题。在此，我们回顾了退伍军人健康管理局（VHA）在大型综合卫生系统中开发和实施研究的经验教训。决策者应检查个别研究是否适用于不同的人群，调整工具和激励措施以采用循证实践，并考虑患者和人群的观点。一个关键的挑战仍然是如何将比较证据和患者价值纳入繁忙的临床实践。
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.