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First PCORI Report Short on Specifics
The Patient-Centered Outcomes Research Institute issued its heavily anticipated first report on national priorities Monday, but stopped short of specifying any diseases or conditions that many hoped or feared the $4.5 billion agency would target for comparative effectiveness research.
Rather, the brief, 22-page "Draft National Priorities for Research and Research Agenda, Version 1," merely carries general statements, which allude to five broad categories the 21-person Board of Governors believes address deficits in methods of research, rather than research on drug or procedure efficacy.
For example, there is no mention of any issues outlined in the Institute of Medicine's report, 100 Initial Priority Topics for Comparative Effectiveness Research from 2009.
"Well, you may say, why didn't you list a few?" Harlan Krumholz, MD, one of PCORI governors, rhetorically asks in an interview with HealthLeaders Media after the report's release Monday.
"Rather than say, well, you know people with A-fib, they have a more important decision than people with breast cancer or people with multiple sclerosis have a more important opportunity than people with Parkinson... We didn't want to exclude particular patient groups or particular questions."
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Comments are moderated. Please be patient.
Robert Finney PhD (1/24/2012 at 1:20 PM)
Cut Bureaucrats, Not Health Care Kaiser Permanente dominates PCORI. Kaiser's Research Director, Joe Selby MD is its Executive Director. Sharon Levine MD is on its Board of Governors. CEO George Halvorson had unfettered special access to the White House in stealth sessions during the health reform process with Ezekiel Emanuel MD, Obama's Dr. Death. http://www.hmohardball.com/Death%20Panel%20Birth%20&%20Attachments%201st%20in%20Series%202-14-2011.pdf Kaiser Permanente invented the drive-by delivery and harmed thousands of patients by forcing them into the HMO's in-house kidney transplant program. Kaiser appointment clerks were paid bonuses not to give patients appointments. Kaiser's Emergency Room had a policy to keep patients waiting until they left without care. Drs. Selby and Levine and Mr. Halvorson demonstrate an inhumane pattern and practice to intentionally harm patients to make money to enrich the HMO and themselves. Mr. Halvorson's unfeeling reply at the Commonwealth Club: "We screwed up." Kaiser Permanente's love for patients means never having to say the HMO is sorry. PCORI's $3 billion government-subsidized budget means that Kaiser can screw up the lives of all plain folks Americans