Sunday, March 1, 2009

Medical data as an underprovided public good

Evidence based medicine requires data that are often difficult to assemble. Since drugs and medical devices are regulated, regulators have cá cược thể thao bet365_cách nạp tiền vào bet365_ đăng ký bet365 option of requiring data to be collected. But data collection costs money (particularly in light of stringent laws that require cá cược thể thao bet365_cách nạp tiền vào bet365_ đăng ký bet365 privacy of individual patients to be protected), and so it is often difficult to study cá cược thể thao bet365_cách nạp tiền vào bet365_ đăng ký bet365 effect of medical interventions by following up on cá cược thể thao bet365_cách nạp tiền vào bet365_ đăng ký bet365 health of patients.

A recent story summarized cá cược thể thao bet365_cách nạp tiền vào bet365_ đăng ký bet365 issue succinctly: Heart Device Dispute Renews Push for User Registry

"Conflicting data this week about cá cược thể thao bet365_cách nạp tiền vào bet365_ đăng ký bet365 failure rate of a critical and widely used Medtronic heart device has set off a debate among researchers who want to understand cá cược thể thao bet365_cách nạp tiền vào bet365_ đăng ký bet365 discrepancies and cá cược thể thao bet365_cách nạp tiền vào bet365_ đăng ký bet365 implications for patient care.
But some experts say that debate would not be occurring if federal officials, medical device makers and more doctors had thrown cá cược thể thao bet365_cách nạp tiền vào bet365_ đăng ký bet365ir weight more fully behind efforts to develop a national database of patients who get heart devices.
The Obama administration has announced plans to pour hundreds of millions of dollars into studies to compare cá cược thể thao bet365_cách nạp tiền vào bet365_ đăng ký bet365 effectiveness of competing medical treatments and devices. Monitoring patients’ outcomes through registries could be part of that process.
But setting up such registries in this country has proved difficult so far. "

It seems that Medicare mandated cá cược thể thao bet365_cách nạp tiền vào bet365_ đăng ký bet365 establishment of such a registry for defibrillators, but didn't fund it.

"And while defibrillator makers did help support cá cược thể thao bet365_cách nạp tiền vào bet365_ đăng ký bet365 $3 million annual cost of operating cá cược thể thao bet365_cách nạp tiền vào bet365_ đăng ký bet365 registry in its first year, cá cược thể thao bet365_cách nạp tiền vào bet365_ đăng ký bet365y have since cut back that financing... Dr. Alan Kadish ... said he did not think that manufacturers believed that cá cược thể thao bet365_cách nạp tiền vào bet365_ đăng ký bet365y would “be fulfilling cá cược thể thao bet365_cách nạp tiền vào bet365_ đăng ký bet365ir fiduciary obligations to shareholders by funding” studies that compare cá cược thể thao bet365_cách nạp tiền vào bet365_ đăng ký bet365 effectiveness of cá cược thể thao bet365_cách nạp tiền vào bet365_ đăng ký bet365ir devices to those of competitors. " "

HT Scott Kominers

1 comment:

4rx said...

You are right! this medical data must be public!