A. Hayward, M.D.
Many proponents of the evidence-based medicine (EBM) movement proposed that relying more heavily on randomized clinical trials would result in more efficient and effective medical care. However, 15 years into this seemingly successful "revolution" we find healthcare costs continuing to spiral out-of-control and little to no association with how much is spent on healthcare and health outcomes.
In this talk, Rod
Hayward will argue that there is a fundamental problem that must be
addressed if we are to make substantial progress in improving the efficiency
of healthcare -- we need to improve the accuracy of the epidemiological
evidence that helps inform healthcare policy. In particular, the conventional
analysis and reporting of RCT's is designed to over-estimate the benefits
and under-estimate the costs of medical interventions. Using evidence
from recent national guidelines, FDA decisions and national performance
standards (such as new NCQA standards), he will demonstrate how biomedical
"experts" are systematically misinforming the national healthcare
policy debate. He will discuss policy changes that could substantially
improve the accuracy of the scientific information that influences healthcare
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