On this blog, Professor Thaddeus Pope tracks judicial, legislative, policy, and academic developments concerning medical futility and the limits on individual autonomy at the end of life.

Wednesday, July 1, 2009

End-of-Life Care: Top Priority for Comparative Effectiveness Research

Comparative effectiveness research (CER) is a way to identify what works for which patients under what circumstances. Congress, in the American Recovery and Reinvestment Act (ARRA) of 2009, appropriated $1.1 billion to jump-start the nation’s efforts to accelerate CER. ARRA tasked the Institute of Medicine (IOM) to recommend national priorities for research questions to be addressed by CER and supported by ARRA funds.
In a report released yesterday, the IOM identified in its second and fourth quartile lists of research priorities:
  • Compare the effectiveness of coordinated care (supported by reimbursement innovations) and usual care in long-term and end-of-life care of the elderly.
  • Compare the effectiveness of hospital-based palliative care and usual care on patient-reported outcomes and cost.

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