Bridging the gap: Exploring the barriers to using economic evidence in healthcare decision making and strategies for improving uptake
Merlo, Gregory, Page, Katie, Ratcliffe, Julie, Halton, Kate, & Graves, Nicholas (2015) Bridging the gap: Exploring the barriers to using economic evidence in healthcare decision making and strategies for improving uptake. Applied Health Economics and Health Policy, 13(3), pp. 303-309.
Evidence from economic evaluations is often not used to inform healthcare policy despite being well regarded by policy makers and physicians. This article employs the accessibility and acceptability framework to review the barriers to using evidence from economic evaluation in healthcare policy and the strategies used to overcome these barriers. Economic evaluations are often inaccessible to policymakers due to the absence of relevant economic evaluations, the time and cost required to conduct and interpret economic evaluations, and lack of expertise to evaluate quality and interpret results. Consistently reported factors that limit the translation of findings from economic evaluations into healthcare policy include poor quality of research informing economic evaluations, assumptions used in economic modelling, conflicts of interest, difficulties in transferring resources between sectors, negative attitudes to healthcare rationing, and the absence of equity considerations. Strategies to overcome these barriers have been suggested in the literature, including training, structured abstract databases, rapid evaluation, reporting checklists for journals, and considering factors other than cost effectiveness in economic evaluations, such as equity or budget impact. The factors that prevent or encourage decision makers to use evidence from economic evaluations have been identified, but the relative importance of these factors to decision makers is uncertain.
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|Item Type:||Journal Article|
|Keywords:||decision making, health care|
|Divisions:||Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
|Copyright Owner:||Copyright 2014 Springer International Publishing|
|Copyright Statement:||The final publication is available at Springer via http://dx.doi.org/10.1007/s40258-014-0132-7|
|Deposited On:||19 Jan 2015 02:31|
|Last Modified:||02 Jul 2016 23:42|
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