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来源类型Publication
The ARRA Investment in CER: A Description of the Midstream Evaluation and How the Funds Were Allocated and CER Priorities Addressed
Dominick Esposito; Pierre L. Yong; Eugene Rich; Kristin Geonnotti; and Laura D. Kimmey
发表日期2014-12-30
出版者Journal of Comparative Effectiveness Research, vol. 3, no. 6
出版年2014
语种英语
概述American Recovery and Reinvestment Act of 2009 comparative effectiveness research (CER) investments aimed to develop fundamental building blocks to transform health care in the United States by strategically aligning national CER efforts and priorities. ",
摘要
  • The overarching goals of the ARRA CER investments were to enhance the national infrastructure for conducting CER, generate new clinical evidence that could improve health care quality for priority groups of patients, and lay the groundwork to ensure the continued generation of information decision makers need to improve the nation’s health.
  • Projects generating new CER evidence or synthesizing existing evidence made up the plurality of ARRA CER projects (194) and funding ($524 million) activities. As the second-largest area of investment in the ARRA CER portfolio, data infrastructure investments accounted for nearly 100 projects and 28 percent of the funding ($302 million).
  • The ARRA CER portfolio invested $118 million to fund 53 projects with a predominant focus on dissemination and translation, $46 million to fund 43 research training and career development projects, and $29 million to fund 23 methods development projects.
  • Most of the research training and career development projects focused on research training or career development (43 of 66), and the remainder focused on CER methods development.
  • More than three-fourths of all projects in the portfolio addressed at least one priority population, condition category, or intervention category, and 56 percent addressed two or more themes. The most common priority themes addressed were cardiovascular disease (19.1 percent of all projects), racial or ethnic minorities (14.6 percent), and cancer (13.7 percent).

Aims: To describe the evaluation design of the American Recovery and Reinvestment Act of 2009 (ARRA) comparative effectiveness research (CER) investment, how funds were allocated, and how CER priorities were addressed.

Materials and methods: Primary and secondary data included information from redacted project proposals; an investigator survey; and discussions with federal project officers, investigators, and expert panels.

Results: More than 420 projects ($1.1 billion) were awarded. Those generating new or synthesizing existing CER made up the plurality (194 percent, or $524 million). Data infrastructure projects were the second-largest area (28 percent, $302 million). More than three-fourths addressed at least one priority population, condition category, or intervention category.

Conclusions: These investments expanded the nation’s CER activities and its future capacity to conduct CER.

URLhttps://www.mathematica.org/our-publications-and-findings/publications/the-arra-investment-in-cer-a-description-of-the-midstream-evaluation-and-how-the-funds-were
来源智库Mathematica Policy Research (United States)
资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/487913
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GB/T 7714
Dominick Esposito,Pierre L. Yong,Eugene Rich,et al. The ARRA Investment in CER: A Description of the Midstream Evaluation and How the Funds Were Allocated and CER Priorities Addressed. 2014.
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