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绘制医疗保险国家覆盖范围决策备忘录中心的研究与政策交叉点

Mapping the Intersection of Research and Policy in Centers for Medicare National Coverage Decision Memos.

作者信息

Klein Sean A

机构信息

Division of Program Coordination, Planning, and Strategic Initiatives; Office of the Director; National Institutes of Health; Bethesda, MD, USA.

出版信息

ArXiv. 2025 May 1:arXiv:2505.00854v1.

Abstract

Evidence is a crucial component of federal policy, but the interactions between the various stakeholders involved in funding, producing, and using the results of scientific research, an important class of evidence, for federal policy are poorly understood. The national coverage determination process used by the Centers for Medicare and Medicaid Services (CMS) to make significant policies on healthcare coverage is an ideal candidate for studying the interactions between stakeholders producing and utilizing scientific research for policy. Memos produced during the national coverage determination process contain information that identifies the organizations funding and producing research articles cited by CMS policy staff. I use these data to map scientific articles and their funding sources to discrete federal policies with substantial economic and health impacts. My analysis highlights that information derived from policy documents can facilitate transparency among the stakeholders involved in funding, producing, and using evidence for federal policy.

摘要

证据是联邦政策的关键组成部分,但对于参与资助、开展以及运用科学研究成果(这是一类重要的证据)以制定联邦政策的各类利益相关者之间的互动,人们了解甚少。医疗保险和医疗补助服务中心(CMS)用于制定重大医保覆盖政策的全国医保覆盖范围确定流程,是研究利益相关者在为政策开展和利用科学研究过程中互动情况的理想对象。全国医保覆盖范围确定流程中产生的备忘录包含相关信息,可识别为CMS政策工作人员所引用研究文章提供资助和开展研究的组织。我利用这些数据将科学文章及其资金来源与具有重大经济和健康影响的离散联邦政策进行映射。我的分析强调,从政策文件中获取的信息能够促进参与为联邦政策提供资助、开展研究以及使用证据的利益相关者之间的透明度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13d9/12306809/a5a117ba30d8/nihpp-2505.00854v1-f0001.jpg

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