| Author/Editor | Wertheimer, Albert I | |
| Title | Outcomes research: current status and future directions | |
| Translated title | Raziskovanje terapevtskih izidov: trenutno stanje in prihodnje usmeritve | |
| Type | članek | |
| Source | Farm Vestn | |
| Vol. and No. | Letnik 51, št. Spec issue | |
| Publication year | 2000 | |
| Volume | str. 177-9 | |
| Language | eng | |
| Abstract | The article defines and explains "outcomes research" (O.R.) and then demonstrates its value and position within the healthcare system. It stresses that future will only accept the result of evidence-based, and will ignore the consensus-based decisions in therapeutics. Outcomes Management is introduced (O.M.) as the utilization of various techniques to modify prescribing or other practitioner behaviors to strive to get a higher Outcomes Research value or score. Outcomes research methodologies may be used to compare different drugs, different competing surgical procedures, or drugs versus surgery or in fact, any interventions where there are quantifiable endpoints and cost information available. The pressures from Managed Care and other cost-containment initiatives from Governments, sick funds and actually from all directions makes outcomes research have much greater importance in the future. | |
| Summary | Prispevek podaja definicijo in razlago termina raziskovanje terapevtskih izidov in osvetli njegovo vlogo in pomen v zdravstvenem sistemu. Povdarja, da prihodnost v farmakoterapiji ne pomeni več odločitev na osnovi dogovornih (consensus-based) spoznanj, temveč upoštevanje z dokazili podprtih (evidence-based) študij in spoznanj. Prikazan je koncept vodenja terapevtskih izidov kot uporaba različnih metod s skupnim ciljem prilagoditi predpisovanje ali odločitev terapevtov na način, da povečamo vrednost oz. kakovost terapevtskega izida. Metodologijo raziskovanja terapevtskih izidov lahko uporabimo za primerjavo učinkovitosti različnih zdravil, primerjavo konkurenčnih kirurških postopkov, primerjavo farmakoterapevtskih in kirurških postopkov, ali še nasploh vsakršnih intervencij v primerih, ko so nam na voljo kvantificirani podatki o terapevtskih ciljih in stroških za njihovo doseganje. Vse večji pritiski s strani plačnikov zdravstvenih storitev in številne iniciative za znižanje stroškov s strani državnih organov, zdravstvenih zavarovalnic in drugih subjektov bodo v bodoče pomen raziskovanja terapevtskih izidov še bistveno povečali. | |
| Descriptors | DRUG THERAPY DRUG EVALUATION DRUG COSTS PHARMACOEPIDEMIOLOGY TREATMENT OUTCOME |