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The public wants information, not board mandates, from comparative effectiveness research
Alan S Gerber1, Eric M Patashnik, David Doherty
1Center for the Study of American Politics, Yale University, New Haven,Connecticut, USA. alan.gerber@yale.edu
Public opinion supports using comparative effectiveness research (CER) for information but not mandates. Targeted rebuttals can counter opposition to CER, even when incentives are involved.
Area of Science:
- Health Services Research
- Public Health Policy
- Medical Decision Making
Background:
- Comparative effectiveness research (CER) is crucial for evidence-based medicine.
- Integrating research findings into clinical practice faces public and policy challenges.
- Public opinion significantly influences the adoption of healthcare innovations.
Purpose of the Study:
- To assess public opinion on comparative effectiveness research (CER).
- To evaluate public attitudes towards integrating CER findings into clinical practice.
- To explore public willingness to accept financial incentives for choosing cost-effective treatments.
Main Methods:
- Conducted two national surveys on public opinion regarding CER.
- Assessed support for using research findings for information, resource allocation, and treatment mandates.
- Examined public response to debates and rebuttals concerning CER.
Main Results:
- Broad public support exists for using CER to inform, but not mandate, treatment decisions or allocate resources.
- The public is open to financial incentives for selecting less expensive, equally effective treatments.
- Support for CER decreased with general debate but rebounded with specific counterarguments.
Conclusions:
- Public opinion favors using CER for informational purposes in healthcare.
- Targeted communication strategies can effectively address public concerns about CER.
- Policy implications include potential for incentivizing cost-effective care based on CER findings.
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