Comparative Effectiveness Research and Priority Setting

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Comparative Effectiveness Research in Health Services

Part of the book series: Health Services Research ((HEALTHSR))

Abstract

Health-care resources are limited and as such decisions must be made on what services to fund and what not to fund. Health-care priority setting processes can assist decision makers in making difficult choices. This chapter presents the application of a priority setting framework that has been used across countries across the full spectrum of health care and positions this framework as a vehicle for the application of comparative effectiveness research. Following presentation of a number of case studies, the chapter draws on our own experience as well as a well-developed literature to outline key lessons learned for successful implementation of priority setting in practice. These lessons include strong leadership and sound project management, an external support system, a fair and transparent process, use of valid and reliable benefit assessment tools, and careful consideration of the project scope. While success can never be guaranteed, these lessons should be useful to those charged with allocating available resources as well as those who may be called upon to support such activity. The chapter closes with discussion of future areas for development in this field along with a number of concluding remarks.

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References

  • Baltussen R, Youngkong S, Paolucci F, Niessen L. Multi-criteria decision analysis to prioritize health interventions: capitalizing on first experiences. Health Policy. 2010;96(3):262–4.

    Article  PubMed  Google Scholar 

  • Bate A, Donaldson C, Hunter DJ, McCafferty S, Robinson S, Williams I. Implementation of the world class commissioning competencies: a survey and case-study evaluation. Policy Research Program, Department of Health; 2011.

    Google Scholar 

  • Bate A, Donaldson C, Murtagh MJ. Managing to manage healthcare resources in the English NHS? What can health economics teach? What can health economics learn? Health Policy. 2007;84(2–3):249–61.

    Article  PubMed  Google Scholar 

  • Daniels N, Sabin JE. Setting limits fairly: can we learn to share medical resources? New York: Oxford University Press; 2002.

    Book  Google Scholar 

  • Dionne F, Mitton C, Smith N, Donaldson C. Evaluation of the impact of program budgeting and marginal analysis in Vancouver Island Health Authority. J Health Serv Res Policy. 2009;14(4):234–42.

    Article  PubMed  Google Scholar 

  • Donaldson C, Bate A, Mitton C, Dionne F, Ruta D. Rational disinvestment. QJM. 2010;103(10):801–7.

    Article  CAS  PubMed  Google Scholar 

  • Donaldson C, Bate A, Mitton C, Peacock S, Ruta D. Priority Setting in the public sector: turning economics into a management process. In: Hartley J, editor. Managing Improvement in public service delivery: progress and challenges. London: Cambridge University Press; 2007.

    Google Scholar 

  • Gibson J, Mitton C, Martin D, Donaldson C, Singer P. Ethics and economics: does programme budgeting and marginal analysis contribute to fair priority setting? J Health Serv Res Policy. 2006;11(1):32–7.

    Article  PubMed  Google Scholar 

  • Haas M, Viney R, Kristensen E, Pain C, Foulds K. Using programme budgeting and marginal analysis to assist population based strategic planning for coronary heart disease. Health Policy. 2001;55(3):173–86.

    Article  CAS  PubMed  Google Scholar 

  • Mitton C, Donaldson C. Health care priority setting: principles, practice and challenges. Cost Eff Resour Alloc. 2004;2(1):3.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mitton C, Smith N, Peacock S, Evoy B, Abelson J. Public participation in health care priority setting: a sco** review. Health Policy. 2009;91(3):219–28.

    Article  PubMed  Google Scholar 

  • Peacock S, Mitton C, Bate A, McCoy B, Donaldson C. Overcoming barriers to priority setting using interdisciplinary methods. Health Policy. 2009;92(2–3):124–32.

    Article  PubMed  Google Scholar 

  • Peacock S, Ruta D, Mitton C, Donaldson C, Bate A, Murtagh M. Using economics to set pragmatic and ethical priorities. BMJ. 2006;332(7539):482–5.

    Article  PubMed  PubMed Central  Google Scholar 

  • Peacock SJ, Richardson JR, Carter R, Edwards D. Priority setting in health care using multi-attribute utility theory and programme budgeting and marginal analysis (PBMA). Soc Sci Med. 2007;64(4):897–910.

    Article  PubMed  Google Scholar 

  • Senge P. The fifth discipline: the art and practice of the learning organization. New York: Doubleday; 2006.

    Google Scholar 

  • Sibbald SL, Singer PA, Upshur R, Martin DK. Priority setting: what constitutes success? A conceptual framework for successful priority setting. BMC Health Serv Res. 2009;9:43.

    Article  PubMed  PubMed Central  Google Scholar 

  • Smith N, Mitton C, Peacock S, Cornelissen E, MacLeod S. Identifying research priorities for health care priority setting: a collaborative effort between managers and researchers. BMC Health Serv Res. 2009a;9:165.

    Article  PubMed  PubMed Central  Google Scholar 

  • Smith N, Mitton C, Peacock S. Qualitative methodologies in health care priority setting research. Health Econ. 2009b;18:1163–75.

    Article  PubMed  Google Scholar 

  • Tsourapas A, Frew E. Evaluation ‘success’ in programme budgeting and marginal analysis: a review of the literature. J Health Serv Res Policy. 2011;16(3):177–83.

    Article  PubMed  Google Scholar 

  • Wilson E, Sussex J, Macleod C, Fordham R. Prioritizing health technologies in a primary care trust. J Health Serv Res Policy. 2007;12(2):80–5.

    Article  PubMed  Google Scholar 

  • Williams, I., Robinson, S. & Dickinson, H. (2012) Rationing in Health Care: the theory and practice of priority setting. Policy Press, Bristol.

    Google Scholar 

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Correspondence to Craig Mitton .

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© 2016 Springer Science+Business Media New York

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Mitton, C., Peacock, S. (2016). Comparative Effectiveness Research and Priority Setting. In: Levy, A., Sobolev, B. (eds) Comparative Effectiveness Research in Health Services. Health Services Research. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7600-0_4

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  • DOI: https://doi.org/10.1007/978-1-4899-7600-0_4

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  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-7599-7

  • Online ISBN: 978-1-4899-7600-0

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