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Updated: Jul 16, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Introduction: Medicare Section 1013 and AHRQ's Effective Health Care Program.

Schumarry H Chao¹, Frank L Urbano

¹SHC & Associates, Santa Monica, CA 90402, USA. schumarryc@verizon.net

Journal of Managed Care Pharmacy : JMCP

|March 24, 2007

Summary

The Agency for Healthcare Research and Quality (AHRQ) Effective Health Care Program studies pharmaceutical safety and effectiveness. This research provides crucial comparative data for high-cost treatments, including rheumatoid arthritis therapies.

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Last Updated: Jul 16, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

Health Services Research
Pharmacoeconomics
Evidence-Based Medicine

Background:

Section 1013 of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 mandates healthcare outcomes research.
The Agency for Healthcare Research and Quality (AHRQ) established the Effective Health Care Program to address data gaps in pharmaceutical safety and effectiveness.
Studies focus on highly utilized and/or high-cost treatments where comparative data is lacking.

Purpose of the Study:

To introduce Section 1013 of the MMA and the AHRQ Effective Health Care Program.
To outline the program's objective: determining the safety and comparative effectiveness of pharmaceuticals.
To highlight the role of AHRQ's Evidence-based Practice Centers (EPCs) and the Developing Evidence to Inform Decisions about Effectiveness (DEcIDE) Network.

Main Methods:

Conducting health care outcomes studies through EPCs and the DEcIDE Network.
Focusing on comparative effectiveness research for pharmaceuticals.
Performing systematic reviews and meta-analyses on specific drug classes and conditions.

Main Results:

Initiated reviews on treatments for rheumatoid arthritis, including nonbiologic disease-modifying antirheumatic drugs (DMARDs) and biologic anti-tumor necrosis factor (TNF)-alpha therapies.
Identified key pharmaceutical topics for safety and comparative effectiveness evaluation.
Established a framework for evidence generation and dissemination.

Conclusions:

AHRQ's EPCs and DEcIDE Network are actively researching the safety and comparative effectiveness of various pharmaceuticals.
Specific focus includes biologic and nonbiologic DMARDs, such as TNF antagonists.
Final reports will be translated into accessible language and disseminated to all stakeholders for informed decision-making.