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May 10, 1995

Creating a Basis for Good Outcomes

JAMA. 1995;273(18):1401. doi:10.1001/jama.1995.03520420009003

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FROM OUTWARD appearances, it might seem that the outcomes research revolution is well under way. Study results are published regularly in the medical literature and clinical outcomes data have helped produce dozens of practice guidelines.

But when outcomes research is scrutinized more closely, it appears that the revolution is still very much an evolution.

"Is this just another passing fad or is it providing something that's not available through standard clinical trials or certain kinds of process measures?" asked Sheldon Greenfield, MD, director of the Primary Care Outcomes Research Institute at the New England Medical Center in Boston, Mass.

Greenfield discussed varying aspects of outcomes research during Prevention 95, the annual meeting sponsored by the American College of Preventive Medicine and the Association of Teachers of Preventive Medicine.

Outcomes research has become a critical topic for specialists in preventive medicine. Their emphasis on bringing clinical preventive services to the masses

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