Acute myocardial infarction setting priorities for effectiveness research : report of a study by a committee of the Institute of Medicine, Division of Health Care Services

Acute Myocardial Infarction:
Copyright
Acknowledgments
Contents
Summary
Introduction
	EFFECTIVENESS INITIATIVE
	THE IOM CLINICAL WORKSHOP
	CONDITION-SPECIFIC RESEARCH WORKSHOPS
		Purpose
		Research Workshop Committee
The Knowledge Base for Key Clinical Issues in Acute Myocardial Infraction
	ETIOLOGY
	EPIDEMIOLOGY
	DIAGNOSIS AND MANAGEMENT
		Prehospital Care
		Emergency Room Care
		Coronary Care Unit
		Hospital Care
		Posthospital Care
	THERAPEUTIC OPTIONS
		Pharmacologic Therapy
		Invasive Procedures
		Rehabilitation
Factors Important for the Selection of Key Patient Management Issues and Related Research Activities
	SELECTING PATIENT MANAGEMENT ISSUES
	SELECTING RESEARCH TOPICS AND ACTIVITIES
		Content, Conduct, and Use of Research
		Data Issues
Key Patient Management Topics for Effectiveness Research in Acute Myocardial Infraction
	PRELIMINARY DISCUSSION AND SELECTION OF MAJOR TOPICS
	SUMMARY OF RECOMMENDATIONS
	METHODS ISSUES
		Improvement of Clinical Information in HCFA Data Bases
		Improvement of Risk Stratification Methods
		Definition of Outcomes
		Examination of Variations in the Patterns of Care and Use of Treatment Modalities in Different Settings
	PATIENT MANAGEMENT TOPICS
		Selection of Diagnostic Tests and Therapeutic Procedures
		Selection of Pharmacologic Therapies
		Use of Diagnostic Tests and Guidelines to Stratify Risk and Guide Treatment
Conclusions
Bibliography
	CLINICAL BIBLIOGRAPHY
	OTHER PUBLICATIONS RELATED TO ACUTE MYOCARDIAL INFARCTION
	OTHER MATERIALS
	PUBLICATIONS RELATED TO HEALTH STATUS
Appendix A Background and Conduct of the Workshop
	STRUCTURE OF THE WORKSHOP
	BACKGROUND READINGS
	HCFA DATA
		Medicare/Medicaid Decision Support System
		Basic Record Groups
		Acquiring Additional Clinical and Outcomes Data
		Acute Myocardial Infarction Analyses Illustrating the Use of Medicare Data
	HOMEWORK EXERCISE