article
Introducción a la investigación de resultados (outcomes research) en gastroenterología
Registro en:
ISSN: 0120-9957
EISSN: 2500-7440
Autor
Mendivil, Joan
Martínez, Jairo Andrés
Institución
Resumen
The need to carry out an evaluation of the impact that medical care has on the health of patients is becoming more evident every day, since it is necessary to verify that the care provided to the patient has an effect on their quality of life and on their costs related to their disease, and thus have a tool with which to make the best decision regarding the treatment that provides the greatest benefits to the patient. The outcome research movement dates back to Ernest Codman (1869-1940), a Boston surgeon who created and implemented a system of procedures to assess the outcomes of health care (1). Subsequently, in the early 1950s, some researchers identified the need for results research as they identified that clinical practice changed according to the geographic region and its population. Likewise, Avedis Donabedian created the concept of structure, process and result, fundamental pillars of the concept of quality in health and its concept was used for several years to evaluate the results of medical interventions. As a result of these efforts, the United States Agency for Research and Quality in Health Care (AHRQ) was created in 1989 whose main objective is to improve clinical practice through the investigation of results. and effectiveness (2).