Criteria for Standard Versus Experimental Therapy
- 1 January 1994
- journal article
- Published by Health Affairs (Project Hope) in Health Affairs
- Vol. 13 (3) , 127-136
- https://doi.org/10.1377/hlthaff.13.3.127
Abstract
This paper demarcates the boundaries between experimental and standard therapy and the influence of this division on policy, payment, and practice. It proposes a new category, crossover therapy, to deal with the many therapies that fall in between. It establishes four criteria to separate these categories: (1) the populations and conditions for which use is helpful; (2) the expected outcomes of care; (3) the skill, personnel, and site requirements and the economic, ethical, and legal understandings essential for use; and (4) the level of knowledge needed to certify that prospective users can apply it well. The paper then explores the use of experimental therapy in desperate situations and of standard therapies in new areas and gives policy recommendations to facilitate these actions.Keywords
This publication has 8 references indexed in Scilit:
- I Had a Tough Day Today, HillaryNew England Journal of Medicine, 1994
- A Call for Higher Standards for Breast ImplantsJAMA, 1993
- Parallel Track Policy IssuedPublished by American Medical Association (AMA) ,1992
- Translating Technology Assessment Into Policy: Conceptual Issues and Tough ChoicesInternational Journal of Technology Assessment in Health Care, 1992
- False Hopes and Best Data: Consent to Research and the Therapeutic MisconceptionHastings Center Report, 1987
- Embracing or Rejecting Innovations: Clinical Diffusion of Health Care TechnologyPublished by Springer Nature ,1984