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Titolo:
Evidence-based health care coverage for children: Proceed with caution
Autore:
Wehr, E;
Indirizzi:
George Washington Univ, Sch Publ Hlth & Hlth Serv, Ctr Hlth Serv Res & Policy, Washington, DC 20006 USA George Washington Univ Washington DC USA 20006 , Washington, DC 20006 USA
Titolo Testata:
AMBULATORY PEDIATRICS
fascicolo: 1, volume: 1, anno: 2001,
pagine: 23 - 27
SICI:
1530-1567(200101/02)1:1<23:EHCCFC>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
EVIDENCE-BASED MEDICINE; MANAGED CARE; SYSTEMS; QUALITY; IMPROVEMENT; NECESSITY; SERVICES; NEED;
Keywords:
cost-effectiveness; evidence-based medicine; insurance; managed care; medical necessity;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
34
Recensione:
Indirizzi per estratti:
Indirizzo: Wehr, E George Washington Univ, Sch Publ Hlth & Hlth Serv, Ctr Hlth Serv Res & Policy, 2021 K St NW,Suite 800, Washington, DC 20006 USA George Washington Univ 2021 K St NW,Suite 800 Washington DC USA 20006
Citazione:
E. Wehr, "Evidence-based health care coverage for children: Proceed with caution", AMBU PEDIAT, 1(1), 2001, pp. 23-27

Abstract

Making health care coverage depend on the existence of valid, applicable research data and positive cost-effectiveness analyses, as managed care contracts are beginning to do, is particularly problematic for children. Because of research challenges specific to children, there are relatively few pediatric data and analyses required under such evidence-based coverage standards. It is too soon to expect major increases from federal efforts to stimulate pediatric health care research. But absence of requisite evidence would entitle a managed care organization or other decision maker to deny coverage on the basis of unproven, negative assumptions about an intervention. In general, population-based evidence is an incomplete basis for decisions on coverage for individual patients. Cost-effectiveness analyses are not standardized and may be biased. Purchasers of managed care and policy makers should understand the limits of evidence-based coverage standards. Other uses of evidence may contribute more to systemic improvements of health care.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/01/20 alle ore 22:12:05