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RECOMMENDATIONS: RESEARCH INFRASTRUCTURE NEEDS
Pages 45-56

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From page 45...
... As noted earlier, although the field of health outcomes research has seen a great deal of progress over the past few years, more work is still needed. Greater sophistication m data analysis and interpretation has given researchers, practitioners, and policymakers new insight, understanding, and ways to improve health care, but it has also raised more questions.
From page 46...
... individuals who analyze health outcomes information and apply certain tools of health outcomes research in management, policy, and service delivery settings. A recent IOM committee (IOM, 1995)
From page 47...
... Fellowships, pre- and postdoctoral traineeships, dissertation grants, grants to institutions offering health outcomes research training, loans, and other financial supports for aspiring health outcomes researchers and educational institutions. Health outcomes research training programs for health care professionals, especially geriatricians.
From page 48...
... Background The committee believes the field of health outcomes research would benefit from a statement of "principles" regarding the conduct of research. As is true in many other fields of research, concerns about the validity of the research and integrity of the researcher are bound to arise.
From page 49...
... However, the researchers and their institution also had to protect patient confidentiality and limit the institution's liability. Example of Support Needed A "statement of principles" that governs the conduct of health outcomes researchers needs to be developed and widely disseminated to health outcomes researchers and to sponsors and users of such research.
From page 50...
... An understanding of data limitations and measurement problems can help users of research interpret findings with due regard for their limitations. Background Although the quality of health outcomes research data is important regardless of its uses, the increasing use of outcomes data to compare health care institutions, practitioners, health plans, and services has focused much more attention on the quality of these data and the deficiencies in outcomes comparisons.
From page 51...
... RECOMMENDATIONS: RESEARCHINFRASTRUCTURENEEDS 51 couraging greater efforts to improve the accuracy and completeness of administrative databases and to develop techniques to compensate for their deficiencies. Example of Needed Research Identify and categorize problems with the reliability, validity, and availability of data used in health outcomes research for older individuals.
From page 52...
... Background The emergence of computerized data and information systems has begun to revolutionize the way health outcomes research is conducted and its results disseminated. Advanced technological applications and tools along with powerful computer software and hardware offer the possibility of conducting health outcomes research that is extremely sophisticated.
From page 53...
... basic telecommunications infrastructure.
From page 54...
... Without continued development of research methods and techniques of outcomes assessment that are in the public domain, the field of health outcomes research will be substantially impaired.
From page 55...
... . Health Services Research: Workforce and Educational Issues.


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