Report: Public comment requested on comparative-effectiveness research

The Patient-Centered Outcomes Research Institute (PCORI) has published an initial draft of shared priorities and a nationwide agenda for comparative clinical effectiveness research, and is seeking public comment on its proposals.

“The priorities and agenda are intended to lay the foundation for a portfolio of clinical effectiveness research that addresses PCORI’s statutory purpose,” read the draft published Jan. 23 by PCORI, a nonprofit healthcare organization in Washington, D.C.

The priorities and agenda outlined in the PCORI’s draft were developed over the course of five months by workgroups comprised of members of the organization's board of governors.

PCORI’s five priorities for comparative clinical effectiveness research are:
  • Developing comparative assessments of prevention, diagnosis and treatment options to determine which options work best for distinct populations with specific health problems;
  • Improving the healthcare system by examples such as finding ways to better coordinate the care of patients with multiple chronic conditions;
  • Creating better ways of communicating with and disseminating information for patients so that they can make informed decisions with clinicians;
  • Addressing disparities to assure that all patients’ healthcare needs are considered since certain treatments may not work equally well for everyone; and
  • Accelerating patient-centered and methodological research to include patients and caregivers in the design of quick, safe and efficient research.

PCORI’s agenda for accomplishing those priorities recommended that research focus on:
  • Clinical options that emphasize patient preferences and decision-making, and consider biological, clinical, social, economic and geographic factors that potentially affect patient outcomes;
  • Ways to improve access to care, better coordinate care and patient decision-making abilities, ways that non-physician providers can benefit patient outcomes and potential system-wide changes that affect all populations regardless of health conditions;
  • Strategies to increase both patient and clinician knowledge of prevention, diagnosis and treatment options, methods of increasing patient participation in their own healthcare, identifying tools to increase communication between patients and providers, ways to use EHRs to better involve patients and best practices for sharing results;
  • Methods to reduce disparities in outcomes, the benefits and risks of treatment options across populations and strategies to break healthcare barriers that affect patient decision-making and outcomes; and
  • Ways to make clinical data more useful in follow-up studies, methods to collect and analyze clinical data that follow patients overtime, the use of registries and databases that support clinical effectiveness research and strategies to assist researchers and patients who would like to participate in patient-centered outcomes research.

PCORI issued a request for public comment from all healthcare stakeholders and suggested that those who wish to comment participate in an online survey.

Read the PCORI draft in its entirety here.

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