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Báo cáo y học: "Bending the cost curve in the United States: the role of comparative effectiveness research"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Bending the cost curve in the United States: the role of comparative effectiveness research. | Ghaferi Critical Care 2010 14 168 http ccforum.eom content 14 3 168 CRITICAL CARE COMMENTARY L__ Bending the cost curve in the United States the role of comparative effectiveness research Amir A Ghaferi See related research by Opmeer etal. http ccforum.eom content 14 3 R97 Abstract Owing to an increasing focus on the rising cost of medical care in the United States bending the cost curve has become the central tenet of healthcare reform. The exact definition of this phrase however remains elusive. In order to affect change in the cost and quality of healthcare the importance of comparative effectiveness research must be recognized. In the current issue of Critical Care Opmeer and colleagues present an economic follow-up to their randomized clinical trial regarding on-demand versus planned relaparotomies for severe peritonitis 1 . In light of recent feverish debates surrounding healthcare reform in the United States bending the cost curve has become a slogan with increasing popularity. Numerous health policy institutes have written briefs many special editions of health services journals have been published and multiple editorials in the US media have been put forth trying to explain what this phrase entails and of course the solution. What does bending the cost curve mean however and how can we achieve it or even begin to achieve it Inevitably both healthcare professionals and patients wish to achieve optimal patient outcomes within a system bound by limited resources. While we have always recognized the need for optimal outcomes we are only now coming to grips with the limited resources. Many continue to debate what the etiology of our high healthcare expenditures is however it is plainly obvious to some that a boom in technology and a heightened practice of defensive medicine have no doubt contributed. To rein in spending therefore we will require better knowledge about the effectiveness of existing and Correspondence aghaferi@umich.edu University of .