Skip to main content

Patient-Centered Comparative Effectiveness Research

  • Reference work entry
  • First Online:

Part of the book series: Health Services Research ((HEALTHSR))

Abstract

Dating back to the early Greek philosophers, medical practice and the role of healers have oscillated between theories where (1) the classification of disease serves as the basis for the subsequent approach to treatment or (2) a diagnosis is based on the patient as a whole with special relation to the patient’s particular disability and preferences for the method of a relief. In the twentieth century, these two approaches were further detailed and named the biomedical model and biopsychosocial model, respectively. More recently, US healthcare discussions in the twenty-first century have focused on how the nation’s system delivers the highest quality medicine to some, while many go without needed care. There are numerous examples demonstrating the evidence-based research movement’s failure through reliance on randomized controlled trials measuring efficacy and not the real-world effectiveness of treatment options. Several recent initiatives energizing the need for comparative effectiveness research have also aligned with the recognized need for patient participation in all aspects of healthcare research and practice.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   279.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD   219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  • Balint E. The possibilities of patient-centered medicine. J R Coll Gen Pract. 1969;17(82):269–76.

    CAS  PubMed  PubMed Central  Google Scholar 

  • Barry MJ, Fowler Jr FJ, Mulley Jr AG, Henderson Jr JV, Wennberg JE. Patient reactions to a program designed to facilitate patient participation in treatment decisions for benign prostatic hyperplasia. Med Care. 1995;33(8):771–82.

    Article  CAS  PubMed  Google Scholar 

  • Berwick DM. What ‘patient-centered’ should mean: confessions of an extremist. Health Aff. 2009;28(4):w555–65.

    Article  Google Scholar 

  • Borrell-Carrio F, Suchman AL, Epstein RM. The biopsychosocial model 25 years later: principles, practice, and scientific inquiry. Ann Fam Med. 2004;2(6):576–82.

    Article  PubMed  PubMed Central  Google Scholar 

  • Byrne PS, Long BEL. Doctors talking to patients: a study of the verbal behaviours of doctors in the consultation. London: Her Majesty’s Stationary Office; 1976.

    Google Scholar 

  • Carle AC. Mitigating systematic measurement error in comparative effectiveness research in heterogeneous populations. Med Care. 2010;48(6 Suppl):S68–74.

    Article  PubMed  Google Scholar 

  • Cartwright A. Human relations and hospital care. London: Routledge & Kegan Paul; 1964.

    Google Scholar 

  • Cassel EJ. The nature of suffering and the goals of medicine. N Engl J Med. 1982;306(11):639–45.

    Article  CAS  PubMed  Google Scholar 

  • Conway PH. How the Recovery Act’s Federal Coordinating Council paved the way for the Patient-Centered Outcomes Research Institute. Health Aff. 2010;29(11):2091–7.

    Article  Google Scholar 

  • Crookshank FG. The theory of diagnosis. Lancet. 1926;2:939.

    Google Scholar 

  • DiMatteo MR, Haskard KB, Williams SL. Health beliefs, disease severity, and patient adherence: a meta-analysis. Med Care. 2007;45(6):521–8.

    Article  PubMed  Google Scholar 

  • Dolgin E. Straight talk with…Joe Selby. Nat Med. 2012;18:1164.

    Article  Google Scholar 

  • Donaldson MS, Capron AM, editors. Patient outcomes research teams (PORTS): managing conflict of interest. Washington, DC: National Academy Press; 1991.

    Google Scholar 

  • Duff RS, Hollingshead AB. Sickness and society. New York: Harper & Row; 1968.

    Google Scholar 

  • Engel GL. The need for a new medical model: a challenge for biomedicine. Science. 1977;196(4286):129–36.

    Article  CAS  PubMed  Google Scholar 

  • Enid Balint: Women Psychoanalysts of Great Britain [updated 2012; cited 2012 July 25]. 2012. Available from: http://www.psychoanalytikerinnen.de/greatbritain_biographies.html

  • Federal Coordinating Council for Comparative Effectiveness Research. Report to the President and the Congress; 30 June 2009 [cited 2012 Aug 20]. 2009. Available from: http://www.hhs.gov/recovery/programs/cer/cerannualrpt.pdf

  • Federal Register. Subtitle D – Patient-Centered Outcomes Research. Public Law 111–148, 23 Mar 2010 [cited 2011 Apr 1]. 2010. Available from: http://www.pcori.org/images/PCORI_EstablishingLeg.pdf

  • Flexner A. Medical education in the United States and Canada: a report to the Carnegie foundation for the advancement of teaching, Bulletin, vol. 4. New York City: The Carnegie Foundation for the Advancement of Teaching; 1910.

    Google Scholar 

  • Geisler T, Schaeffeler E, Dippon J, Winter S, Buse V, Bischofs C, et al. CYP2C19 and nongenetic factors predict poor responsiveness to clopidogrel loading dose after coronary stent implantation. Pharmacogenomics. 2008;9(9):1251–9.

    Article  CAS  PubMed  Google Scholar 

  • Gray BH, Gusmano MK, Collins SR. AHCPR and the changing politics of health services research. Health Aff. 2003;Suppl Web Exclusives:W3:283–307.

    Google Scholar 

  • Gueorguieva R, Mallinckrodt C, Krystal JH. Trajectories of depression severity in clinical trials of duloxetine: insights into antidepressant and placebo responses. Arch Gen Psychiatry. 2011;68(12):1227–37.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Halligan PW, Aylward M, editors. The power of belief: psychosocial influence on illness, disability and medicine. Oxford: Oxford University Press; 2006.

    Google Scholar 

  • Hiatt MD, Stockton CG. The impact of the Flexner report on the fate of medical schools in North America after 1909. J Am Physician Surg. 2003;8(2):37–40.

    Google Scholar 

  • Hibbard J. Consumer competencies and the use of comparative quality information: it isn’t just about literacy. Med Care Res Rev. 2007;64(4):379–94.

    Article  PubMed  Google Scholar 

  • Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy Press; 2001.

    Google Scholar 

  • Jacobson GA. CRS Report for Congress. Comparative clinical effectiveness and cost-effectiveness research: background, history, and overview [updated 2007; cited 2012 July 25]. 2007. Available from: http://aging.senate.gov/crs/medicare6.pdf

  • Katz RV, Kegeles SS, Kressin NR, Green BL, Wang MQ, James SA, et al. The Tuskegee Legacy Project: willingness of minorities to participate in biomedical research. J Health Care Poor Underserved. 2006;17(4):698–715.

    Article  PubMed  PubMed Central  Google Scholar 

  • Korsch BM. Current issues in communication research. Health Commun. 1989;1(1):5–9.

    Article  CAS  PubMed  Google Scholar 

  • Levenstein JH, McCracken EC, McWhinney IR, Stewart MA, Brown JB. The patient-centred clinical method. 1. A model for the doctor-patient interaction in family medicine. Fam Pract. 1986;3(1):24–30.

    Article  CAS  PubMed  Google Scholar 

  • Lewis-Hall FC, Wilson MG, Tepner RG, Koke SC. Fluoxetine vs. tricyclic antidepressants in women with major depressive disorder. J Women Health Off Publ Soc Adv Women Health Res. 1997;6(3):337–43.

    CAS  Google Scholar 

  • Luce B, Cohen RS. Health technology assessment in the United States. Int J Technol Assess Health Care. 2009;25 Suppl 1:33–41.

    Article  PubMed  Google Scholar 

  • McCracken EC, Stewart MA, Brown JB, McWhinney IR. Patient-centred care: the family practice model. Can Fam Physician Medecin de famille canadien. 1983;29:2313–6.

    CAS  PubMed  Google Scholar 

  • McGhee A. The patient’s attitude to nursing care. Edinburgh: E. & S. Livingstone; 1961.

    Google Scholar 

  • McHorney CA. Generic health measurement: past accomplishments and a measurement paradigm for the 21st century. Ann Intern Med. 1997;127(8 Pt 2):743–50.

    Article  CAS  PubMed  Google Scholar 

  • McWhinney IR. Doctor-patient communication. In: McWhinney IR, editor. A textbook of family medicine. Oxford: Oxford University Press; 1989. p. 87–110.

    Google Scholar 

  • Mead N, Bower P. Patient-centredness: a conceptual framework and review of the empirical literature. Soc Sci Med. 2000;51(7):1087–110.

    Article  CAS  PubMed  Google Scholar 

  • Metlay JP, Fine MJ, Schulz R, Marrie TJ, Coley CM, Kapoor WN, et al. Measuring symptomatic and functional recovery in patients with community-acquired pneumonia. J Gen Intern Med. 1997;12(7):423–30.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • National Human Genome Research Institute. Personalized medicine [cited 2011 Apr 1]. 2011. Available from: http://www.genome.gov/glossary/index.cfm?id=150

  • National Research Council. Find what works in health care: standards for systematic reviews. Washington, DC: The National Academies Press; 2011.

    Google Scholar 

  • Partnership to Improve Patient Care (PIPC). Transcript of March 2011 meeting of the Patient Centered Outcomes Research Institute (PCORI) Board of Directors; St. Louis; 7–8 Mar 2011 [cited 2012 Aug 20]. 2011. Available from: http://improvepatientcare.org/sites/default/files/PIPC%20Transcript%20-%20PCORI%20Board%20of%20Directors%20Meeting%20-%20St%20Louis%20Missouri_1.pdf

  • Patient-Centered Outcome Research Institute Program Development Committee. Report to PCORI; 7 Mar 2011 [cited 2012 July 31]. 2011. Available from: http://www.pcori.org/images/PDC_Report_03-07-2011.pdf

  • Patient-Centered Outcomes Research Institute. Mission statement presentation; 18 July 2011 [cited 2012 Aug 20]. 2011. Available from: http://www.pcori.org/images/MissionPresentation7.18.2011.pdf

  • Patient-Centered Outcome Research Institute. Patient-centered outcomes research definition revision: response to public input [cited 2012 Aug 14]. 2012a. Available from: http://www.pcori.org/assets/PCOR-Revised-Definition-v2-04202012.pdf

  • Patient-Centered Outcomes Research Institute. Draft methodology report: “Our questions, our decisions: standards for patient-centered outcomes research.” Published for Public Comment 23 July 2012 [cited 2012 July 30]. 2012b. Available from: http://pcori.org/assets/MethodologyReport-Comment.pdf

  • PROMIS. [updated 2012; cited 2012 July 31]. 2012. Available from: http://www.nihpromis.org/

  • Rockwood K, Dai D, Mitnitski A. Patterns of decline and evidence of subgroups in patients with Alzheimer’s disease taking galantamine for up to 48 months. Int J Geriatr Psychiatry. 2008;23(2):207–14.

    Article  PubMed  Google Scholar 

  • Roter DL, Hall JA. Doctors talking with patients/patients talking with doctors: improving communication in medical visits. Westport: Prager; 2006.

    Google Scholar 

  • Skipper JK, Leonard RC, editors. Social interaction and patient care. Philadelphia: Lippincott; 1965.

    Google Scholar 

  • Stanton MW. Improving treatment decisions for patients with community-acquired pneumonia. Rockville: Agency for Healthcare Research and Quality; 2002.

    Google Scholar 

  • The International Balint Federation. [updated 2012; cited 2012 July 25]. 2012. Available from: http://www.balintinternational.com

  • Van Spall HG, Toren A, Kiss A, Fowler RA. Eligibility criteria of randomized controlled trials published in high-impact general medical journals: a systematic sampling review. JAMA J Am Med Assoc. 2007;297(11):1233–40.

    Article  Google Scholar 

  • Waitzkin H, Stoeckle JD. The communication of information about illness. Clinical, sociological, and methodological considerations. Adv Psychosom Med. 1972;8:180–215.

    Article  CAS  PubMed  Google Scholar 

  • Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). Med Care. 1992;30(6):473–83.

    Article  PubMed  Google Scholar 

  • Ware JE, et al. Defining and measuring patient satisfaction with medical care. Eval Program Plann. 1983;6(3–4):247–63.

    Article  PubMed  Google Scholar 

  • Wennberg JE. Dealing with medical practice variations: a proposal for action. Health Aff. 1984;3(2):6–32.

    Article  CAS  Google Scholar 

  • World Health Organization. Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19–22 June 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948. 1946.

    Google Scholar 

  • Wu AW, Snyder C, Clancy CM, Steinwachs DM. Adding the patient perspective to comparative effectiveness research. Health Aff. 2010;29(10):1863–71.

    Article  Google Scholar 

  • Wyrwich KW. Personalized healthcare and comparative effectiveness research: finding the evidence on “what works for whom and when”. evidence matters: Solution-Driven Approaches to Scientific, Regulatory & Commercial Challenges Facing the Biopharmaceutical Industry. Bethesda: United BioSource Corporation; 2011.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kathleen W. Wyrwich .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer Science+Business Media New York

About this entry

Cite this entry

Wyrwich, K.W. (2016). Patient-Centered Comparative Effectiveness Research. In: Levy, A., Sobolev, B. (eds) Comparative Effectiveness Research in Health Services. Health Services Research. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7600-0_10

Download citation

  • DOI: https://doi.org/10.1007/978-1-4899-7600-0_10

  • Published:

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-7599-7

  • Online ISBN: 978-1-4899-7600-0

  • eBook Packages: MedicineReference Module Medicine

Publish with us

Policies and ethics