Benjamin K
Center for Medical Effectiveness Research, Agency for Health Care Policy and Research, Rockville, MD 20852, USA.
J Allied Health. 1995 Winter;24(1):3-12.
Outcomes research has become increasingly important in recent years in evaluating the quality of health care and in making policy and clinical decisions. There has been a growing awareness of the need to adapt outcomes research methods for the assessment of treatments provided by the allied health research and professional communities. This is imperative due to the growth of managed care plans and the need for professional legitimization and separate reimbursement of services. This article provides an overview of the history of the outcomes research movement, with specific reference to federal government involvement. Differences between efficacy and effectiveness research are delineated, the problems in undertaking outcomes studies to evaluate allied health-provided treatments are discussed, and strategy for increasing the use of outcomes research in the assessment of allied health treatments is given.
近年来，结果研究在评估医疗保健质量以及制定政策和临床决策方面变得越来越重要。人们越来越意识到需要调整结果研究方法，以评估联合健康研究和专业团体提供的治疗。由于管理式医疗计划的增长以及专业合法化和服务单独报销的需求，这一点至关重要。本文概述了结果研究运动的历史，特别提及了联邦政府的参与。阐述了疗效研究与效果研究之间的差异，讨论了开展结果研究以评估联合健康提供的治疗时存在的问题，并给出了在评估联合健康治疗中增加使用结果研究的策略。
