Evidence-based decision making: when should we wait for more information?
Evidence-based decision making: when should we wait for more information?
We discuss the challenge of managing innovation in and access to health care interventions in an evidence-based, cost-effective way, and we describe a decision-making framework (using U.S. and U.K. case studies) for health care payers considering the adoption of new technologies. We argue that providing reimbursement for what could be a cost-effective technology "only in the context of research" will be appropriate if the costs of delaying implementation are offset by the value of "keeping one's options open" by waiting for more information. We conclude that there is a need for better integration of health care decision-making processes with research policies.
decision making, diffusion of innovation, evidence-based medicine, great britain health services, accessibility, humans, medical laboratory, science reimbursement mechanisms, united states
1642-1653
Chalkidou, K.
43772243-e8f8-46ea-9682-3c27408c8019
Lord, J.
fd3b2bf0-9403-466a-8184-9303bdc80a9a
Fischer, A.
798c82d9-aa26-4b05-8604-b80f4db8d75e
Littlejohns, P.
db1d9f2d-b601-42ff-a6fe-67232bc5ce41
November 2008
Chalkidou, K.
43772243-e8f8-46ea-9682-3c27408c8019
Lord, J.
fd3b2bf0-9403-466a-8184-9303bdc80a9a
Fischer, A.
798c82d9-aa26-4b05-8604-b80f4db8d75e
Littlejohns, P.
db1d9f2d-b601-42ff-a6fe-67232bc5ce41
Chalkidou, K., Lord, J., Fischer, A. and Littlejohns, P.
(2008)
Evidence-based decision making: when should we wait for more information?
Health Affairs, 27 (6), .
(doi:10.1377/hlthaff.27.6.1642).
(PMID:18997223)
Abstract
We discuss the challenge of managing innovation in and access to health care interventions in an evidence-based, cost-effective way, and we describe a decision-making framework (using U.S. and U.K. case studies) for health care payers considering the adoption of new technologies. We argue that providing reimbursement for what could be a cost-effective technology "only in the context of research" will be appropriate if the costs of delaying implementation are offset by the value of "keeping one's options open" by waiting for more information. We conclude that there is a need for better integration of health care decision-making processes with research policies.
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Published date: November 2008
Keywords:
decision making, diffusion of innovation, evidence-based medicine, great britain health services, accessibility, humans, medical laboratory, science reimbursement mechanisms, united states
Organisations:
Primary Care & Population Sciences
Identifiers
Local EPrints ID: 382170
URI: http://eprints.soton.ac.uk/id/eprint/382170
ISSN: 0278-2715
PURE UUID: 0347dbaa-859d-47fe-9be7-1e565f85aaf7
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Date deposited: 27 Oct 2015 10:45
Last modified: 15 Mar 2024 03:52
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Author:
K. Chalkidou
Author:
A. Fischer
Author:
P. Littlejohns
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