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What can comparative effectiveness research contribute to integrative health in international perspective?


Witt, Claudia M; Rafferty Withers, Shelly; Grant, Suzanne; Lauer, Michael S; Tunis, Sean; Berman, Brian M (2014). What can comparative effectiveness research contribute to integrative health in international perspective? Journal of Alternative and Complementary Medicine, 20(11):874-880.

Abstract

The interest in Comparative Effectiveness Research (CER) in the international community is growing. A panel titled “What Can Comparative Effectiveness Research Contribute to Integrative Health in International Perspective?” took place at the 3rd International Research Congress on Integrative Medicine and Health in Portland, Oregon, in 2012. The presentations at this panel highlighted different perspectives on CER, including the funders' and the stakeholders' perspectives from the United States, as well as experiences with economic evaluations from Australia and pragmatic trials in Europe. The funders' perspective emphasized the need for innovation and controlling costs in large-scale studies. The stakeholder's perspective stressed the need to gather the input of stakeholders in shaping the framework for more informative, more decision-maker-driven research. Several examples of cost-effectiveness analyses were offered from Australia. The importance of balancing rigor and pragmatism was also discussed in a presentation of the efficacy–effectiveness continuum. A wide-ranging discussion explored additional questions concerning the translation of evidence into practice; the effect of pragmatic trials on funding or policy; evidentiary distinctions between and among pragmatic trials and traditional randomized clinical trials; and the multiple roles of stakeholders, particularly in generating new information and knowledge. The presentations and discussions showed that more development of methods is needed. This includes developments on study design and statistical approaches, as well as methods for stakeholder involvement and mechanisms to bring these results into practice.

Abstract

The interest in Comparative Effectiveness Research (CER) in the international community is growing. A panel titled “What Can Comparative Effectiveness Research Contribute to Integrative Health in International Perspective?” took place at the 3rd International Research Congress on Integrative Medicine and Health in Portland, Oregon, in 2012. The presentations at this panel highlighted different perspectives on CER, including the funders' and the stakeholders' perspectives from the United States, as well as experiences with economic evaluations from Australia and pragmatic trials in Europe. The funders' perspective emphasized the need for innovation and controlling costs in large-scale studies. The stakeholder's perspective stressed the need to gather the input of stakeholders in shaping the framework for more informative, more decision-maker-driven research. Several examples of cost-effectiveness analyses were offered from Australia. The importance of balancing rigor and pragmatism was also discussed in a presentation of the efficacy–effectiveness continuum. A wide-ranging discussion explored additional questions concerning the translation of evidence into practice; the effect of pragmatic trials on funding or policy; evidentiary distinctions between and among pragmatic trials and traditional randomized clinical trials; and the multiple roles of stakeholders, particularly in generating new information and knowledge. The presentations and discussions showed that more development of methods is needed. This includes developments on study design and statistical approaches, as well as methods for stakeholder involvement and mechanisms to bring these results into practice.

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Additional indexing

Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Institute of Complementary Medicine
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2014
Deposited On:27 Nov 2014 10:16
Last Modified:25 Aug 2017 19:40
Publisher:Mary Ann Liebert
ISSN:1075-5535
Additional Information:This is a copy of an article published in the Journal of alternative and complementary medicine © 2014 copyright Mary Ann Liebert, Inc.; Journal of alternative and complementary medicine is available online at: http://online.liebertpub.com
Free access at:PubMed ID. An embargo period may apply.
Publisher DOI:https://doi.org/10.1089/acm.2014.0073
PubMed ID:25372702

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