Areas to address while attempting to reform the health care system in the United States include controlling excessive expenditures, restraining cost growth and enhancing quality of care. Technological assessment and cost effective principles have been posited as approaches to reform health care while improving quality of care.
In this paper, the authors assert that outcomes assessment, or the measurement of the efficiency of health care systems, can complement technology assessment in health care reform. They examined claims data on Medicare patients from 1992-2004 who had experienced an acute myocardial infarction (AMI), or heart attack in order to aggregate individual patient outcomes and costs and derive hospital-specific measures of efficiency.
As a complement to technology assessment, outcomes assessment is a promising approach to health care reform that addresses expenditures, cost growth, and quality care.
Keywords: Cost Effectiveness, Managing Inflation, Administrative Cost/Structure, Quality, Delivery Systems, Innovation