Health Services Research, Medicare, and Medicaid: A Deep Bow and a Rechartered Agenda
作者基于担任医疗保险和医疗补助服务中心管理者的经验，回顾卫生服务研究对医保政策的贡献，并提出未来十年应聚焦的十大研究主题，以推动实现更好的个体护理、人群健康和更低的人均成本。
From their inception, Medicare and Medicaid have been shaped and guided by health services research (HSR) and its people.The linkages are numerous: ideas (like Diagnostic Related Groups, or DRGs, Resource-Based Relative Value Scale, or RBRVS, and Accountable Care Organizations, or ACOs), tools (like those from the RAND Health Insurance Experiment, the Medical Outcome Study, and the HCAHPS family), frameworks, and, of course, people who oscillated between academia and government, to the benefit of both.As administrator of the Centers for Medicare and Medicaid Services (CMS) from 2010 to 2011, I saw productive contributions of HSR to CMS policy, regulation, and operations every day.That is a track record to be proud of.But there are gaps, some big ones, and a rechartered agenda for HSR could help boost American health care to its next and needed levels of performance.The following are 10 suggested topics for HSR to focus on in the next decade, more understanding of which would help health care leaders, including CMS, to move more rapidly toward better care for individuals, better health for populations, and lower per capita cost through improvement: the "Triple Aim." 1,