Log in with your email address username.

×

Important notice

doctorportal Learning is on the move as we will be launching a new website very shortly. If you would like to sign up to dp Learning now to register for CPD learning or to use our CPD tracker, please email support@doctorportal.com.au so we can assist you. If you are already signed up to doctorportal Learning, your login will work in the new site so you can continue to enrol for learning, complete an online module, or access your CPD tracker report.

To access and/or sign up for other resources such as Jobs Board, Bookshop or InSight+, please go to www.mja.com.au, or click the relevant menu item and you will be redirected.

All other doctorportal services, such as Find A Doctor, are no longer available.

Comparative effectiveness research — the missing link in evidence-informed clinical medicine and health care policy making

To change practice, we should move beyond trial-based efficacy to real-world effectiveness

Meaningful health care reform requires robust evidence about which interventions work best for whom and under what circumstances. The Institute of Medicine in the United States has estimated that less than 50% of current treatments are supported by evidence and 30% of health care expenditure reflects care that is of uncertain value.1 In studies testing established clinical standards of care, more than half reported evidence that contradicts standard care or is inconclusive.2 Many Medicare Benefits Schedule services lack comprehensive evidence of comparative safety or effectiveness, while many that have been evaluated have been shown to be ineffective, harmful or of uncertain value compared with alternative forms of care.3

Filling the void — the rise of comparative effectiveness research

Comparative effectiveness research (CER) compares new or existing interventions (or a new dose or intensity of an intervention) to one or more non-placebo alternatives, which may…

email