¶ … Medical Treatments: Issues and Options for an Expanded Federal Role" Using Bardach's Eightfold Path"
The objective of this work in writing is to assess the work entitled "Research on the Comparative Effectiveness of Medical Treatments: Issues and Opinions for an Expanded Federal Role" using Bardach's Eightfold Path.
Bardach's eightfold path includes specific steps for assessment including: (1) Defining the problem; (2) assembling some evidence; (3) Construction of alternatives; (4) selection of criteria; (5) projection of the outcomes; (6) confrontation of the trade-offs; (7) decisions; and (8) telling the story.
Defining the Problem
The work entitled "Research on the Comparative Effectiveness of Medical Treatments: Issues and Opinions for an Expanded Federal Role" was published by the Congressional Budget Office in November 2007 and is focused on the rising health care costs and the challenge that these represent for the federal government and private payers alike. It is noted in this work that there is a "variety of evidence" suggesting that there are existing opportunities to "constrain health care costs both in the public programs and in the rest of the health system without adverse health consequences." (GAO, 2007)
II. Assembling Some Evidence
Federal spending on Medicare and Medicaid is noted to have increased and in fact tripling "over the past 30 years…as a share of gross domestic product (GDP), rising from about 1.3% in 1975 to about 4% in 2007." (GAO, 2007) If the costs per enrollee stay on the path of growth over the next four years as they have in the previous four "then federal spending on those programs would reach about 17% of the economy." (GAO, 2007) It is reported that evidence concerning which treatments are most effective for which patients is many times not available.
III. Construction of Alternatives
Alternatives stated to be available by the Congressional Budget Office includes the following:
(1) Because any private...
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