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Health Policy and Public Trust
Robert H. Brook, MD, ScD
JAMA. 2008;300(2):211-213.
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Nearly every US newspaper on almost every day will include stories about health care in the United States. Many of these stories focus on the intersection of business or professional entities and trust. Can a study be trusted that compared drug A to a placebo or to drug B? Should research assessing the performance of one device compared with another be given credence? However, journalists rarely ask if research that examines the function and structure of the health care system with the goal of changing health policy should be believed.
I have spent the last 30 years conducting health services research intended to produce new knowledge that, if used correctly, would improve health. Both as a researcher and as director of a large health services research program, I have overseen the expenditure of more than $1 billion. It is legitimate to ask whether the results . . . [Full Text of this Article]
Author Affiliations: RAND Corporation, Santa Monica, California; and David Geffen UCLA School of Medicine and UCLA School of Public Health, Westwood, California.
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