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Related Experiment Videos

Better policy to promote the evaluative clinical sciences.

J E Wennberg1

  • 1Center for the Evaluative Clinical Sciences Dartmouth Medical School, Hanover, NH 03756.

Quality Assurance in Health Care : the Official Journal of the International Society for Quality Assurance in Health Care
|January 1, 1990
PubMed
Summary

Evaluating medical practices, like surgical procedures and diagnostic tests, is crucial for improving patient care and reducing healthcare costs. Implementing systematic assessments can enhance the scientific basis of medicine, benefiting patients and physicians alike.

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Area of Science:

  • Medical Science
  • Health Policy
  • Evidence-Based Medicine

Background:

  • Current medical practice lacks rigorous outcome evaluation for procedures and diagnostics, unlike pharmaceuticals.
  • This disparity creates a "double standard for truth" in medicine, impacting decision-making and leading to variations in care quality and cost.
  • Physician uncertainty regarding optimal practices contributes to significant cost and quality differences in healthcare.

Purpose of the Study:

  • To highlight the need for systematic assessment of medical practices and treatments.
  • To advocate for removing the "double standard for truth" in medicine by evaluating all aspects of healthcare.
  • To demonstrate how systematic assessments can improve the scientific foundation of medicine.

Main Methods:

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  • The paper discusses the need for a science policy that includes systematic assessment of treatment theories.
  • It proposes focusing assessments on conditions affecting the most patients and those critical for cost and quality.
  • Emphasis is placed on conducting assessments with high scientific standards within national medical research programs.

    • Main Results:

    • Systematic assessments can yield valuable information within a few years (2-3 years) without additional regulation.
    • Such assessments lead to substantial improvements in the scientific basis of medical practice.
    • The findings are beneficial for patients, physicians, and policymakers concerned with healthcare quality and cost.

    Conclusions:

    • Establishing a program for systematic assessment of medical practices is imperative.
    • Implementing these assessments will enhance the scientific and ethical basis of medicine.
    • This approach offers a pathway to improve healthcare quality and efficiency for all stakeholders.