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Published on: October 3, 2016

A policy for science.

Michael S Lauer1

  • 1Office of the Director, Division of Cardiovascular Sciences, National Heart, Lung, and Blood Institute/NIH, Bethesda, MD 20892, USA. lauerm@nhlbi.nih.gov

Journal of the American College of Cardiology
|June 9, 2012
PubMed
Summary
This summary is machine-generated.

Policymakers can influence scientific research by addressing evidence gaps. A "policy for science" can foster collaboration to generate high-quality randomized trials, improving clinical decision-making.

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Area of Science:

  • Health policy
  • Clinical research methodology
  • Evidence-based medicine

Background:

  • Policy and science interactions are typically viewed as policymakers seeking scientific advice.
  • The influence of external policies on the conduct of scientific research is often overlooked.
  • Clinical medicine frequently faces decisions with insufficient evidence, highlighting systemic issues in evidence generation.

Purpose of the Study:

  • To propose a
  • policy for science
  • that addresses the need for evidence generation in clinical practice.
  • To illustrate how stakeholders can collaborate to identify and fill critical evidence gaps.

Main Methods:

  • Utilizing the case of computed tomography angiography and Centers for Medicare and Medicaid Services' call for randomized trials.
  • Examining the opposition encountered by calls for evidence generation.
  • Conceptualizing a framework for a collaborative "policy for science".

Main Results:

  • The computed tomography angiography case exemplifies challenges in implementing evidence-based policies.
  • Substantial opposition can hinder the generation of crucial clinical evidence.
  • A coordinated approach is needed to overcome systemic barriers.

Conclusions:

  • A "policy for science" involving stakeholder collaboration can identify evidence gaps.
  • This policy can promote efficient design, implementation, and completion of high-quality randomized trials.
  • Such a policy fosters a culture incentivizing rapid evidence generation, engaging all stakeholders in the scientific enterprise.