The Importance of Evidence as a Component of Health Policy

8/6/2003


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Table of Contents

The Importance of Evidence as a Component of Health Policy

Examples of Popular Press Headlines

Overview

Overview

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Health-Related Research Continuum

AHRQ Customers and Goals

AHRQ RESEARCH FOCUS: HOW IT DIFFERS

EXAMPLE: DIABETES

Ten Roles of Government in Health Care Quality

Overview

Inputs to Health Care Decisions

Importance of Evidence-Based Decision-Making (EBDM)

Why Evidence-Based Decision-Making?

Evidence-Based Health Care (EBHC): Complementary/ Overlapping Themes

Growing Need for Evidence-Based Health Care

The Dartmouth Atlas of Health Care

Variation in the Use of Hospital Services New Haven vs. Boston, 1982

Health Services of Proven Benefit

Current Compliance Rates

Why Interest in Evidence-Based Medicine (EBM)?

Explosion of “Evidence-Based Medicine/Practice”

Evolution of Evidence-Based Health Care (selective version) - 1

Evolution of Evidence-Based Health Care- 2

Evidence-Based Health Care

Evidence of Effectiveness?

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Outcomes Research: Definitions

WHY Outcomes and Effectiveness Research?

Quality Measurement

Overview

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Types of Decisions

Uses of Evidence for Decision-Making

Evidence-based Practice Centers (EPCs)

Explicit Evidence-based Processes

Evidence-based Practice Centers

Goals for the EPC Program

EPC Partners

Topic Nominations and Criteria

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Screening for Breast Cancer

Aspirin for the Primary Prevention of Cardiovascular Events

AHRQ Research Study: Aspirin Use in Patients With Heart Disease

Screening Adults for Depression

Clarifying Questions

Discrete and Answerable Questions?

Methodology

Topic Assessment and Refinement

Peer Review

EPC Products

EPC Publications

Four-Page Summaries of EPC Evidence Reports

Examples of Evidence Report Use

Other Trends

Four Steps to Evidence-Based Policies

Four Steps to Evidence-Based Policies (continued)

EBDM: Outputs

Policy Uses of Evidence

Percent of Complete Mastectomies with ហ Hours LOS

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Healthcare Cost and Utilization Project (HCUP) Quality Indicators

Using AHRQ’s Prevention Quality Indicators to Lower Diabetes Cost

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HCUP Quality Indicators: Potentially avoidable hospital admissions

Randomized Controlled Trials of Therapy for Low Back Pain

AHRQ Research Study: Effectiveness of Inpatient and Outpatient Treatment for Women With PID

Case Study: Impact of Mental Health Parity Plus Carve-Out for Mental Health Benefits

Overview

Challenges from EBM and Decision Making

Unresolved Issues

Issues and Challenges

Where to Go Next

Needs and Opportunities

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Clinical Significance: For Whom?

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Author: AHCPR IRMB