Discussion Paper
by Laura DeStefano | Sep 25, 2012 | Discussion Paper, Perspectives
Our aim is to accelerate the routine use of the best available evidence in medical decision making by raising awareness of and increasing demand for medical evidence among patients, providers, health care organizations, and policymakers. This paper is the product of...
by Laura DeStefano | Sep 14, 2012 | Discussion Paper, Perspectives
Introduction Electronic health records (EHRs) and other forms of health information technology (IT) hold the promise of transforming the way health care is delivered in the United States, improving quality and safety while lowering costs. But after a decade of...
by Laura DeStefano | Sep 13, 2012 | Discussion Paper, Perspectives
Equity was identified as one of the six core dimensions of a high-performing, high-quality health care system in the landmark Institute of Medicine (IOM) report Crossing the Quality Chasm (2001). The report concluded that health care should be “equitable, (that is)...
by Laura DeStefano | Jul 26, 2012 | Discussion Paper, Perspectives
Health care costs have doubled as a share of the economy over the past three decades (Martin et al., 2012), causing stress on family, employer, and government budgets. Furthermore, these expenses contain substantial waste and often do not improve patient health. One...
by Laura DeStefano | Jun 27, 2012 | Discussion Paper, Perspectives
Introduction Harvey V. Fineberg, MD, PhD President, Institute of Medicine In a discussion paper published in January 2012, a group of us at the Institute of Medicine (IOM) put forward some ideas about the “deadly sins” of public health. At the end, I suggested six...
by Laura DeStefano | Jun 19, 2012 | Discussion Paper, Perspectives
Introduction This paper describes 10 attributes of health literate health care organizations, that is, health care organizations that make it easier for people to navigate, understand, and use information and services to take care of their health. Having health...
by Laura DeStefano | Jun 5, 2012 | Discussion Paper, Perspectives
As leaders of health care organizations, we are acutely aware of the pressures that rising health care costs place on individuals, employers, and the government, as we are of unacceptable shortfalls in the quality and efficiency of care. But we have also learned,...
by Laura DeStefano | May 18, 2012 | Discussion Paper, Perspectives
In Canada, as elsewhere, the translation of health research outcomes to development of products and services for health care and final implementation in patients does not progress as rapidly, efficiently, or successfully as it should. In order to address this problem,...
by Laura DeStefano | May 18, 2012 | Discussion Paper, Perspectives
Introduction Traditional randomised clinical trials are very expensive and time-consuming and often have poor external validity (Ware and Hamel, 2011). The challenge for modern medicine is to find ways of producing good-quality evidence with good external validity and...
by Laura DeStefano | May 18, 2012 | Discussion Paper, Perspectives
The arrangements for the regulation and governance of health research in the United Kingdom (UK) have evolved, piecemeal, over the past 30 years, and much is now enshrined in UK and European Union (EU) legislation. Each individual measure was introduced with the best...
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