title: Clinical practice evaluation at Providence Health System.
abstract: Over the past seven years, Providence Health System (PHS) in Portland, Oregon, has used an outcomes research paradigm to study treatment of back pain, coronary artery disease, total joint replacement, and cancer. In presenting case studies of each of these areas, the authors chronicle the evolution of clinical practice evaluation at PHS, beginning with early studies in the 1960s, to the establishment of the Center for Outcomes Research and Education (CORE), to the formation of a new systemwide strategy that is responsive to the evolving health care marketplace.
authors.affiliation: Providence Health System, Portland, OR, USA.
authors.forename: K B
authors.initials: KB
authors.lastname: Bayley
authors.forename: D J
authors.initials: DJ
authors.lastname: Lansky
authors.forename: M R
authors.initials: MR
authors.lastname: London
authors.forename: L A
authors.initials: LA
authors.lastname: Skokan
authors.forename: K B
authors.initials: KB
authors.lastname: Eden
mesh_terms: D001416:Back Pain / Q000628:therapy; D003327:Coronary Disease / Q000628:therapy; D016208:Databases, Factual; D019033:Delivery of Health Care, Integrated / Q000592:standards*; D006302:Health Services Research; D006622:Hip Prosthesis / Q000592:standards; D006801:Humans; D007720:Knee Prosthesis / Q000592:standards; D017146:Models, Organizational; D009369:Neoplasms / Q000628:therapy; D009922:Oregon; D010043:Outcome and Process Assessment, Health Care; D011788:Quality of Life