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The Outcomes of Cancer Outcomes Research

Focusing on the National Cancer Institute’s Quality-of-Care Initiative

Bibliographic Data

ID9101086
AuthorsJoseph Lipscomb (National Cancer Institute, corresponding author), Claire Snyder (0000-0001-8952-4561, National Cancer Institute), Claire F Snyder
Year2002
Volume40
IssueSupplement
PagesIII-3-III-10
Publication date2002-06-01
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-200206001-00002
PMID12064755
OpenAlexW2322516027
LanguageEN
Citations received2
References cited8

BACKGROUND: To assess the impact of outcomes research, the Agency for Healthcare Policy and Research has proposed a four-level typology that successively distinguishes between research that (1) adds to the knowledge base only, (2) affects practice policies, (3) influences the delivery of care, and (4) leads to changes in health outcomes. The agency has concluded that outcomes research to date has made substantial contributions at level 1, but has had little impact at levels 2 to 4. OBJECTIVE: To describe the National Cancer Institute's emerging agenda in cancer outcomes research, focusing on how it has been shaped early on to support the institute's quality of care initiative and noting whether each new project represents outcomes research at level 1, 2, 3, or 4. RESULTS: Cancer outcomes research describes, interprets, and predicts the impact of various influences, especially (but not exclusively) interventions on endpoints that matter to decision makers. The institute's projects to improve the scientific quality of final endpoint measures, strengthen the methodologic and empirical basis for quality of care analysis, and enhance the application of health-related quality-of-life measures in clinical trials represent level 1 applications of outcomes research. Collaborative projects with federal agencies to translate evidence into practice and a new public and private effort to identify core measures of cancer quality represent level 2 and level 3 outcomes research. CONCLUSION: The stage has been set for carrying out a balanced portfolio of level 1 to 3 outcomes research projects in cancer, with the ultimate (level 4) aim of improving cancer-related health outcomes

Agency (philosophy) · Alternative medicine · Business · Economic growth · Economics · Empirical research · Health care · Outcomes research · Portfolio · Psychological intervention · Quality (philosophy) · Quality of life (healthcare) · Sociology · Typology · Cancer survivorship and care · Economic and Financial Impacts of Cancer · Health Systems, Economic Evaluations, Quality of Life · Medicine · Nursing · Psychology

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  • Racial Differences in the Treatment of Early-Stage Lung Cancer

    Peter B Bach, Laura D Cramer et al.•New England Journal of Medicine•1999

  • The Quality Enhancement Research Initiative (Queri)

    John R Feussner, KENNETH W KIZER et al.•Medical Care•2000

  • Obtaining Long-Term Disease Specific Costs of Care

    Martin L Brown, Gerald F Riley et al.•Medical Care•1999

Citations per year0.08
Citation span2002 - 2006 (5)
Highly citedNo

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