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January 28, 2004

Realizing the Benefits of Practical Clinical Trials—Reply

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2004;291(4):425-426. doi:10.1001/jama.291.4.426

In Reply: We are heartened by the comments of Drs Ofman and Lubeck, who acknowledge the important role for the pharmaceutical industry in supporting PCTs that reliably compare risks, benefits, and costs of competing technologies. We agree that the production of high-quality evidence will not by itself influence the decisions of consumers, clinicians, and policy makers. Clearly there is also a need for organizational strategies and systems that will increase the use of clinical interventions proven to be effective. Many public and private health care organizations are devoting considerable attention and resources to the measurement and improvement of health care quality.1,2

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