The New Era of Comparative Effectiveness: Will Public Health End Up Left Behind?
Version of Record online: 22 AUG 2011
© 2011 American Society of Law, Medicine & Ethics, Inc.
The Journal of Law, Medicine & Ethics
Volume 39, Issue 3, pages 437–449, Fall 2011
How to Cite
Saver, R. S. (2011), The New Era of Comparative Effectiveness: Will Public Health End Up Left Behind?. The Journal of Law, Medicine & Ethics, 39: 437–449. doi: 10.1111/j.1748-720X.2011.00613.x
- Issue online: 22 AUG 2011
- Version of Record online: 22 AUG 2011
The Patient Protection and Affordable Care Act created the nation's first comprehensive comparative effectiveness research (CER) program. According to some optimistic accounts, CER will revolutionize clinical practice and transform the health care delivery system. But what about public health? There are reasons for concern that it could end up left behind in the new era of comparative effectiveness. This article analyzes the considerable promise and serious limitations of applying CER to public health. It also highlights important issues that will likely emerge for public health law and policy as the health care system transitions to greater reliance on CER.