Larry A. Green
On April 3, 2009, public testimony on comparative effectiveness
research was given at a meeting of the National Advisory Council
for Healthcare Research and Quality. The testimony represents
the views of the presenter and not necessarily those of the Agency
for Healthcare Research and Quality (AHRQ) or the Department
of Health and Human Services (HHS).
The Council provides advice and recommendations to the Director,
AHRQ, and to the Secretary, HHS, on priorities for a national
health services research agenda.
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Test, in practical, real-world
trials, different systematic ways of delivering integrated health care for
people with (1) emotional and behavioral problems (i.e. people with mental
health and substance use problems) and (2) unhealthy behaviors. This work
is well suited for PBRNs and would accelerate evidence based practice by
developing practice based evidence, moving beyond testing one pill vs another,
or one device vs another. This research matters to approximately 32 million
people each year (in terms of the burden of illness associated with important
"mental health" problems and a majority of the population (adults, adolescents,
children) now compromised because of unhealthy behaviors, specifically tobacco
use, physical inactivity, unhealthy diet, and risky use of alcohol.
Larry A. Green,
M.D.
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