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Criteria for standard versus experimental therapy

S J Reiser

    Health Affairs (Project Hope)
    |January 1, 1994
    PubMed
    Summary

    This study defines experimental, standard, and introduces "crossover therapy." It proposes criteria for classifying therapies to guide policy, payment, and clinical practice.

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    Area of Science:

    • Health Policy
    • Medical Practice
    • Therapeutic Classification

    Background:

    • The distinction between experimental and standard therapy impacts healthcare policy, reimbursement, and clinical application.
    • Existing categories may not adequately address therapies with evolving evidence or applicability.

    Purpose of the Study:

    • To delineate clear boundaries between experimental and standard therapeutic approaches.
    • To introduce a new classification, 'crossover therapy,' for therapies that bridge these categories.
    • To provide a framework for policy, payment, and practice adjustments.

    Main Methods:

    • Establishment of four key criteria for categorizing therapies: target population/conditions, expected outcomes, resource/knowledge requirements, and user competency.
    • Exploration of the application of experimental therapies in critical situations and standard therapies in novel contexts.

    Main Results:

    • Defined criteria for differentiating experimental, standard, and the proposed crossover therapy.
    • Identified specific considerations for using experimental therapies in dire circumstances and standard therapies in new applications.

    Conclusions:

    • The proposed classification system offers a structured approach to managing diverse therapeutic modalities.
    • Recommendations are provided to facilitate the appropriate use of experimental and standard therapies in evolving healthcare landscapes.
    Keywords:
    Biomedical and Behavioral ResearchHealth Care and Public HealthNational Institutes of HealthProfessional Patient Relationship

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