Benchmarking Controlled Trial - a novel concept covering all observational effectiveness studies

Transkriptio

1 Benchmarking Controlled Trial - a novel concept covering all observational effectiveness studies Antti Malmivaara, MD, PhD, Chief Physician Centre for Health and Social Economics National Institute for Health and Welfare Helsinki, Finland Trusted evidence. Informed decisions. Better health.

2 Potential conflicts of interests Finnish Institute for Health and Welfare, Centre for Health and Social Economics, Chief Physician Current Care Guidelines, Finnish Medical Association Duodecim, Editor Ministry for Social Affairs and Health, Council for Choices in Health care in Finland, Expert Hospital ORTON, Scientific Board, Member European Academy of Rehabilitation Medicine Cochrane Back and Neck Review Group, Editorial Board Cochrane Rehabilitation Field, Executive Committee; Chair of the Methodology Committee Antti Malmivaara, Käypä hoito/duodecim, CHESS/THL

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4 Real-Effectiveness Medicine Benchmarking controlled trials Randomized controlled trials Malmivaara A. Real-Effectiveness Medicine pursuing the best effectiveness in the ordinary care of patients. Annals of Medicine 2013;45:

5 Malmivaara A. Benchmarking Controlled Trial a novel concept covering all observational effectiveness studies.. Annals of Medicine 2015;47:

6 Malmivaara A. Benchmarking Controlled Trial a novel concept covering all observational effectiveness studies.. Annals of Medicine 2015;47:

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8 Malmivaara A. Clinical Impact Research. Annals of Medicine 2016;Aug 5:1-4

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10 EuroHOPE-project. One year mortality for ischaemic stroke in six countries. Malmivaara A, Meretoja A, Peltola et al. Comparing ischaemic stroke in six European countries. The EuroHOPE register study. Eur J Neurol, 2015;22: Antti Malmivaara, Terveys- ja sosiaalitalous -yksikkö, THL

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12 Malmivaara A. System Impact Research increasing public health and health care system performance. Annals of Medicine 2016;March 15:1-5

13 Four year follow-up study of memory disorder patients in Helsinki and Espoo Rosenvall A, Rättö H, Finne-Soveri H, Häkkinen U, Juntunen M, Järvelin J, Linnosmaa I, Noro A, Kuronen M, Malmivaara A. Neljän vuoden seurantatutkimus helsinkiläisistä ja espoolaisista muistisairaista: palvelujen käyttö, pitkäaikaishoito ja kuolleisuus. Suomen Lääkärilehti 2015;70:

14 Rosenvall A ym. Neljän vuoden seurantatutkimus helsinkiläisistä ja espoolaisista muistisairaista: palvelujen käyttö, pitkäaikaishoito ja kuolleisuus. Suomen Lääkärilehti 2015;70:

15 Rosenvall A ym. Neljän vuoden seurantatutkimus helsinkiläisistä ja espoolaisista muistisairaista: palvelujen käyttö, pitkäaikaishoito ja kuolleisuus. Suomen Lääkärilehti 2015;70:

16 Potential cost savings of selected nonpharmacological treatment strategies for Alzheimer s disease in Finland - a costneutrality model (Manuscript) Ari Rosenvall, Lauri Sääksvuori, Harriet Finne-Soveri, Ismo Linnosmaa, Antti Malmivaara

17 Cost savings due to care management, family support and rehabilitation

18 Conclusions

19 Benchmarking Controlled Trial (BCT) Benchmarking Controlled Trial (BCT) is a new concept which covers all observational effectiveness studies. BCTs are capable of assessing clinical effectiveness and effects of features of the health and social care system. Study design is based on benchmarking between health care providers taking care of similar patient or population groups. Malmivaara A. Benchmarking Controlled Trial a novel concept covering all observational effectiveness studies. Annals of Medicine 2015;47:

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22 The four stages in pursuing scientific evidence of effectiveness in rehabilitation 1. Decide upon the most relevant study question(s) 2. Decide whether RCT or BCT is the study design of choice 3. Pursue the best possible internal and external validity (generalizability of results) when planning and conducting the study 4. Report according to current guidelines

23 Thank you! Trusted evidence. Informed decisions. Better health.