Mirror, mirror on the wall: what effectiveness research shows us about headache care.
Mirror, mirror on the wall: what effectiveness research shows us about headache care.
复制标题
镜子，墙上的镜子：研究向我们展示了头痛护理的有效性。
DOI：
10.1016/j.pain.2011.03.009
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发表时间：
2011
期刊：
影响因子：
7.4
通讯作者：
Kairalla,JohnA
中科院分区：
文献类型：
--
作者：
Ahn,AndrewH;Kairalla,JohnA
整合最新的干预措施，程序和设备并将其应用于各种复杂的患者人群的挑战确实是使疼痛和头痛领域的工作既巧妙又有益的一部分。然而，最大的挑战可能是照照镜子，反思我们并没有像我们希望的那样有效。那么，你如何衡量你的诊所的有效性或结果？有些人说，在一个疾病和治疗的混合人群中定义和衡量结果的复杂性是不可能的，但能够说出我们的成功并识别改进的机会，既可以肯定我们做得好，也可以更加关注需要改进的领域。比较有效性研究（CER）的新兴领域有望以有效的方式促进竞争性治疗形式的直接比较，并利用这些证据来迅速影响医疗保健提供决策。奥巴马政府将不断上涨的医疗保健成本视为对国家经济健康的威胁，已为CER指定了11亿美元的资金，最近的国家医疗保健改革立法建立了以患者为中心的结果研究所，以指导CER研究的立即扩展。
The challenge of integrating the newest interventions, procedures, and devices and applying them to a varied and complex patient population is indeed a part of what makes working in the pain and headache field both artful and rewarding. However, the greatest challenge may be to look into the mirror and reflecting on the fact that we are not as effective as we would hope to be. So how do you measure the effectiveness or outcomes of your clinic? Some say the complexity of defining and measuring outcomes in a mixed population of disorders and treatments is not possible, but the ability to name our successes and identify opportunities for improvement would both affirm what we do well and provide greater attention to areas requiring improvement.The emerging field of Comparative Effectiveness Research (CER) promises to facilitate direct comparisons of competing treatment forms, in an efficient manner, and to use this evidence to influence quickly health care delivery decisions. Posing the rising cost of health care as a threat to national economic health, the Obama administration has designated $1.1 billion of funds for CER, and recent national health care reform legislated the creation of a Patient-Centered Outcomes Research Institute to guide the immediate expansion of CER research.