Case Studies

An NIH study of treatments for high blood pressure, called the ALLHAT trial, shows some of the strengths and limitations of comparative effectiveness research to improve patient care. More...

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July 6, 2010 |

Partnership to Improve Patient Care (PIPC) chairman, Tony Coelho, recently delivered a speech on patient centered comparative effectiveness research (CER) in front of fifty specialty doctors from around the country, among others, at the Alliance for Specialty Medicine’s (ASM) “Capitol Hill Advocacy Conference.” The conference took place just a day before the specialty doctors met w

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June 24, 2010 |

Below: PIPC Chairman Tony Coelho's recent speech on patient centered CER. The speech was delivered on Tuesday, June 22, 2010 at the Alliance for Specialty Medicine's “Capitol Hill Advocacy Conference,” in Washington, D.C.

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June 10, 2010 |

A new Health Affairs article concludes, based on focus groups and interviews, that "consumers will revolt if evidence-based efforts are perceived as rationing or as a way to deny them needed treatment."

You don't need to look any further than public reaction to the U.S. Preventive Service Task Force's updated recommendations on mammography screening to see the proof of this.
 
How should policy-makers react? Should they conclude that consumers, and even more so, patients, cannot be relied on to make evidence-based decisions, and therefore these decisions need to be made for them? Or should they conclude that evidence-based models of medical care and health delivery need to be carefully constructed so they have the trust and support of patients and consumers?

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PIPC Continues to Press on Comparative Effectiveness Research

WASHINGTON, DC - The Partnership to Improve Patient Care(PIPC), is disappointed that the House Energy and Commerce Committee did not act on the bipartisan Christensen-Inslee-Upton-Walden amendment, which promoted patient-centered comparative effectiveness research (CER).  The amendment has strong bipartisan support and would advance an objective, credible and independent CER program that meets the needs of all patients.
 
"We appreciate Committee members' work on this issue, and Chairman Waxman's commitment to working to include the amendment in the final House health reform bill," PIPC Chairman Tony Coelho said. "PIPC will continue to work in support of patient-centered CER as part of comprehensive health care reform."
 
The Christensen-Inslee-Upton-Walden amendment was based on legislation introduced by Rep. Kurt Schrader (D-OR) in the House (H.R. 2502) and Sens. Baucus and Conrad in the Senate (S. 1213). "This approach to CER will ensure that the research is focused on the needs of patients, and is not used in ways that interfere with the treatment decisions made by doctors and their patients," Coelho said. "As a patient myself, I understand that every body is different, and we must protect the ability of physicians and patients to tailor care to the needs of the individual."
 
The Christensen-Inslee-Upton-Walden amendment, like S. 1213 and H.R. 2502, would create an independent Institute to oversee a patient-centered research program. This approach, Coelho noted, is supported by the American Medical Association, AARP, and over 100 organizations representing patients, providers, minority groups, and people with disabilities. This approach also was supported by leaders of the New Democrat Coalition in a recent letter to members of the Energy and Commerce Committee, and by the Medicare Payment Advisory Commission.
 
About PIPC
The Partnership to Improve Patient Care was formed in November 2008 to support new comparative effectiveness research proposals that are centered on patient and provider needs; raise awareness about the value of well-designed CER; and promote the important role of continued medical innovation as part of the solution to cost and quality challenges in health care. Partnership members include a wide range of healthcare organizations representing patient, provider and industry advocacy groups.

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