When we think about choices that are made in health care, and if you
really think about health care and health, it's a series of decisions that
we make. In health care it's often a patient and a doctor or a family and a
doctor making a decision together and it's always a comparison of two or more
options: Should I take a statin or not for my high cholesterol? Should I take an
aspirin to prevent a stroke or will that carry too much risk versus in that case
not taking anything, so they're always these choices that we have to make and
that's a comparison that we need.
There is a vast need for comparative
effectiveness research and as we get more technologically sophisticated I'd
say it's even a crisis. We have so many decisions being made without knowing
which is better in a society spending almost 19% of its gross national product
on health care. We can do a lot better if we use the things that work best and we
can't tell what's going to work best unless we do the studies.
Given the urgency and the extraordinary need I think having an independent agency
that's focused on comparative effectiveness research is really
critical right now we have so many things that need to be studied the
methods are a bit different than traditional NIH research or what the
medical products industry has done. PCORI already has had a big impact but its
impact could be even bigger in the future given the crisis we have on cost
and the need for people to know out of the many treatments we have which ones
are best. Even the methods developed by PCORI being patient-centered,
after all we're trying to inform people about decisions they need to make so
furthering these methods is an important part of the overall effort.
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