Earlier this year, the US government set aside more than $ 1 billion to study the pros and cons of health treatments, but he needs advice on how to start. Today, a group of experts proposed 100 priorities for the so-called "comparative effectiveness research" (CER), funded by the economic recovery plan. The subjects, drawn from more than 2,0 suggestions, go treatment of heart disease in ways to encourage breastfeeding. the report of the Institute of medicine is not afraid to advise researchers to consider "cost-effectiveness", a term that has raised concerns from some members of Congress this will lead to rationing
But the panel report does not go far in the discussion of costs;. for example, it does not say how the research results can be used to decide what health care should cover plans. making these decisions is "a very important matter and we knew we did not have enough time to process," said panel co-chair Harold Sox, editor of the journal Annals of Internal Medicine . Sox said some of the 100 studies could be done quickly by building on existing data, such as Medicare records. Others will require expensive randomized trials.
The group also urges the creation of an "infrastructure" or the ERC program, to coordinate this research between agencies. Various proposals to create a federal center for RECs are floating around Congress (here's an example). The recommendations are aimed at CER to $ 400 million that the stimulus bill directed to the Secretary of Health and Human Services. But they might also influence the priorities in the Institutes of the National Department of Health, which received $ 400 million, and the Agency for Healthcare Research and Quality, which received $ 300 million in the bill .
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