Navigation Links
Americans must consider cost and effectiveness when comparing and choosing medical interventions

Washington, May 15, 2008 The American College of Physicians (ACP) proposed today a means to improve physician and patient access to and use of information about clinical and cost-effectiveness when comparing medical products, procedures and services.

The recommendations are featured in an article, Cost-Effectiveness Information: An Essential Feature of a National Comparative Effectiveness Entity, published online today in Annals of Internal Medicine, ACPs flagship peer reviewed journal ( The Annals article is based on a broader comparative-effectiveness policy paper also released today online at The article addresses how costs and clinical outcomes are interrelated, and has a major impact on physician practice and patient care in the U.S.

The article looks at how U.S. attitudes about cost-effectiveness has failed to produce an adequate supply of reliable information about what health care works best for a patient in specific clinical situations and with a limited budget. ACP recommended that the U.S. establish a trusted, independent, adequately-funded national research organization to fill the gap.

The proposed new entity would develop and disseminate evidence based on comparative clinical effectiveness and cost-effectiveness in health care. Further, it would educate the public about the urgency of modifying what it has found to be an American cultural bias toward downplaying the cost of health care--especially when payment seemingly comes from a health insurer or other third party payer rather than from patients own pockets.

The new ACP study encourages doctors and patients to use comparative-effectiveness information as a route to containing health care costs, noted David M. Dale, MD, FACP and president of ACP. We very much support the creation of this new entity. And emphasize the importance of this proposed entity to produce both comparative clinical and cost-effective information.

The article also says that because of factors including:

  • the explosion of health care costs;
  • the de facto rationing produced from 47-million uninsured patients denied access to health care; and
  • the limited resources of the American society,

The time has come for patients, physicians, insurers and health policymakers to factor into their decisions explicitly and transparently the comparative clinical effectiveness, the comparative cost and the cost-effectiveness of new and existing health care interventions.

The article and new ACP policy paper particularly address the reluctance in American society to produce and consider cost information in evaluating the value of various clinical products, procedures and services, and how this reluctance adversely affects ensuring the availability of health care for all.

The article recognizes that because of the finite resources available for heath care costs must be a factor, but that differences in costs should never be considered without also considering differences in clinical health outcomes explicitly and transparently.

The economic impacts of interventions should be used in decision making along with evidence of clinical effectiveness, Dr. Dale concluded, but the public and clinicians will only trust such information if it comes from an independent research source that does not itself have an economic conflict of interest in the results of its analyses.


Contact: David Kinsman
American College of Physicians

Related medicine news :

1. New Survey Shows Americans Value Oral Health But Knowledge Gap Remains
2. Video: Ocean Spray Revitalizes Americans Naturally With Free Fuel for Their Bodies
3. Survey Reveals Most Americans Planning Vacations Within the U.S.; Tummy Troubles Top Travel Health Woes
4. Despite Americans High Regard, Nursing Shortage Still Looms
5. New Supplement Helps Americans Eat Less Every Day
6. Chronic Medication Nation: Research Finds Chronic Health Problems Now Afflict More Than Half of All Americans
7. Drugs Alone Dont Lower Heart Disease Risks for Overweight Americans
8. New Survey Finds Overwhelming Majority of Working Americans Not Financially Prepared for Disability, Would Rely on Sources Other than Themselves for Support
9. Half of Americans Want Stricter Water Quality Laws, Survey Finds
10. Kidney disease worsens in a fourth of African-Americans despite therapy for hypertension
11. Pelosi: Genetic Information Nondiscrimination Act Will Protect Americans from Misuse of Genetic Information
Post Your Comments:
(Date:12/1/2015)... Francisco, CA (PRWEB) , ... December 01, 2015 ... ... Behavioral Health Center of Excellence (BHCOE) today announced that the organization has awarded ... in San Francisco, with a Distinguished Award. The award celebrates exceptional special needs ...
(Date:12/1/2015)... (PRWEB) , ... December 01, 2015 , ... ... today announced it has been awarded a fixed price per sprint agile development ... contract, valued at $34 million over five years, provides software engineering, infrastructure, as ...
(Date:12/1/2015)... ... December 01, 2015 , ... TCS Healthcare Technologies (TCS), ... population health arenas, is pleased to announce that VIP Care Services, a Caprock ... implemented the ACUITY Complete Care™ Management to back their collaborative catastrophic case management ...
(Date:12/1/2015)... ... 01, 2015 , ... XTC Semifinals 2016 - CES, Las Vegas, Nevada ... Vegas for CES 2016, the world’s largest Consumer Electronic Show, where they will present ... Founding Partner of Pacific Investments Veronica Serra, and venture capitalist Tim Draper among many ...
(Date:12/1/2015)... ... 01, 2015 , ... With FCPX Overlay: Grit , users can apply ... the possibilities are truly endless, all with a click of a mouse. Each user ... horizontal flip, depth of field and more, all within Final Cut Pro X. , ...
Breaking Medicine News(10 mins):
(Date:12/1/2015)... , Dec. 1, 2015  CytoSorbents Corporation (NASDAQ: ... commercializing its CytoSorb® blood purification technology to reduce ... world, today announced that Dr. Phillip Chan ... to participate in the LD Micro Main Event ... Conference, both of which will be held in ...
(Date:12/1/2015)... BOULDER, Colo. , Dec. 1, 2015 ... ARRY ) today announced that its Chief ... present at the Oppenheimer Annual Healthcare Conference ... to participate in the conference through a ... , --> ...
(Date:12/1/2015)... Dec. 1, 2015 Assurex Health, Inc. ... test giving healthcare providers an expanded range of ... patients suffering from depression, anxiety, bipolar disorder, posttraumatic ... conditions. i .   ... With the addition of two new drug classes, ...
Breaking Medicine Technology: