Discussion Paper
by Laura DeStefano | May 11, 2012 | Discussion Paper, Perspectives
Introduction Clinical trials in the United States have a rich history of involving academic, industry, and government institutions (e.g. the National Institutes of Health [NIH]) to address important medical questions. Nonetheless, over time, clinical trials in the...
by Laura DeStefano | May 11, 2012 | Discussion Paper, Perspectives
Statement of Purpose Rapid, seamless data exchange in cancer—throughout the continuum from research to clinical care—remains an unmet need with no clear path forward to a solution. We assert that there is a national urgency to find solutions to support and sustain the...
by Laura DeStefano | May 4, 2012 | Discussion Paper, Perspectives
Introduction Clinical trials are a means of gathering information about medical products or services. In medicine, however, they are also the fundamental means for advancing the underlying science and have enabled the many advances we have made in health care over the...
by Laura DeStefano | Apr 27, 2012 | Discussion Paper, Perspectives
Introduction The gap between the growing demand for evidence to inform practice and our current state of knowledge calls for serious consideration about the best approach to developing a workforce capable of meeting those demands. As referenced in the discussion paper...
by Laura DeStefano | Apr 20, 2012 | Discussion Paper, Perspectives
Introduction Over the past decade, the symbiotic relationship between the clinical trials enterprise (CTE) and the health care delivery system has been subject to increasing amounts of stress. During this period, the CTE has primarily focused on process improvement,...
by Laura DeStefano | Jan 27, 2012 | Discussion Paper, Perspectives
What Is a Health Literate Organization? This paper describes ten attributes of a health literate organization, that is, an organization that makes it easier for people to navigate, understand, and use information and services to take care of their health. (See Table...
by Laura DeStefano | Jan 27, 2012 | Discussion Paper, Perspectives
At a recent meeting for Institute of Medicine (IOM) staff, I delivered a version of my 2011 Frank A. Calderone Prize Lecture, which included reference to the seven deadly sins. As originally enunciated by Pope Gregory I in 590 A.D., the deadly sins are lust, sloth,...
by Laura DeStefano | Oct 1, 2011 | Discussion Paper, Perspectives
Abstract To generate needed improvements in health care, its delivery, and its outcomes, organized and sustained efforts at continuous improvement are needed. The Institute of Medicine’s Roundtable on Value & Science-Driven Health Care has developed the vision of...
by Laura DeStefano | Jun 15, 2011 | Discussion Paper, Perspectives
Activity Marketing experts, decision scientists, patient advocates, and clinicians have developed a set of guiding principles and basic expectations underpinning patient-clinician communication. The work was stewarded under the auspices of the Best Practices and...
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