Evidence-Based Decision Making: When Should We Wait For More Information?

被引:52
作者
Chalkidou, Kalipso [1 ]
Lord, Joanne [1 ]
Fischer, Alastair [1 ]
Littlejohns, Peter [1 ]
机构
[1] Brunel Univ, Hlth Econ Grp, Uxbridge UB8 3PH, Middx, England
关键词
D O I
10.1377/hlthaff.27.6.1642
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
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. [Health Affairs 27, no. 6 ( 2008): 1642 1653; 10.1377/hlthaff.27.6.1642]
引用
收藏
页码:1642 / 1653
页数:12
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