CLINICIAN ENGAGEMENT IN THE NIH HEALTH CARE SYSTEMS RESEARCH COLLABORATORY

Use of PRECIS ratings in the National Institutes of Health (NIH) Health Care Systems Research Collaboratory

BACKGROUND The National Institutes of Health (NIH) Health Care Systems Research Collaboratory (NIH Collaboratory) seeks to produce generalizable knowledge about the conduct of pragmatic research in health systems. This analysis applied the PRECIS-2 pragmatic trial criteria to five NIH Collaboratory pragmatic trials to better understand 1) the pragmatic aspects of the design and implementation o...

Pragmatic clinical trials embedded in healthcare systems: generalizable lessons from the NIH Collaboratory

BACKGROUND The clinical research enterprise is not producing the evidence decision makers arguably need in a timely and cost effective manner; research currently involves the use of labor-intensive parallel systems that are separate from clinical care. The emergence of pragmatic clinical trials (PCTs) poses a possible solution: these large-scale trials are embedded within routine clinical care ...

The role of the NIH in nurturing clinician-scientists.

(MedPAC) involves comparing costs with payment rates — an approach that does not identify services whose utilization is increasing because prices are set too high. Japan has taken a different approach in responding to high rates of utilization, by monitoring specific services whose use grows substantially, rather than lumping all physician procedures together. In the United States, line-item re...

Research Challenges in Future Health Care Systems

Future health care systems will involve a network of heterogeneous resources providing different levels of service and will comprise of a physical and a virtual decision and control layer. The initial results presented here will lead to health care delivery with on-line decision making in order to meet QoS requirements and management targets.

The Collaboratory for Support of Scientific Research