The U.S. could stand to improve how it incorporates real-world evidence into the health care system, according to a report in the American Journal of Managed Care.
Dr. Adrian Hernandez, vice dean for clinical research at the Duke University School of Medicine, told the AJMC that cultural and qualitative barriers hindered the implementation of concrete evidence in meaningful ways in the U.S. health care system.
“And, then, finally, how do we make sure that we’re actually getting the right answers? So, certainly, there are methodological issues in terms of observational studies,” Hernandez said. “There are also methodological issues in terms of randomized trials. So, how do we get closer to the truth? And combining those 3 efforts is really important for real-world evidence.”
Hernandez said that the U.S. was progressive in using that information to reach health decisions and inform regulators. However, other nations were using that evidence to drive the outcomes toward better health for the general population.