scholarly journals The use of economic evaluations in NHS decision-making: a review and empirical investigation

2008 ◽  
Vol 12 (7) ◽  
Author(s):  
I Williams ◽  
S McIver ◽  
D Moore ◽  
S Bryan
2006 ◽  
Author(s):  
Robyn J. Geelhoed ◽  
Julia C. Phillips ◽  
Ann R. Fischer ◽  
Elaine Shpungin ◽  
Younnjung Gong

2012 ◽  
Vol 30 (4) ◽  
pp. 231 ◽  
Author(s):  
Maria Laura Silva ◽  
Hans-Martin Späth ◽  
Lionel Perrier ◽  
Nora Moumjid

Vaccine ◽  
2015 ◽  
Vol 33 (46) ◽  
pp. 6164-6172 ◽  
Author(s):  
Xiong-Fei Pan ◽  
Ulla K. Griffiths ◽  
Mark Pennington ◽  
Hongjie Yu ◽  
Mark Jit

2004 ◽  
Vol 20 (4) ◽  
pp. 564-564 ◽  
Author(s):  
Marc Berg ◽  
Tom van der Grinten ◽  
Niek Klazinga

References 8, 29, and 32 are incorrect as they appear in the article entitled “Technology assessment, priority setting, and appropriate care in Dutch health care,” by Marc Berg, Tom van der Grinten, and Niek Klazinga (Int J Technol Assess Health Care. 2004;20[1]:35-43). They should appear as follows: 8. Burgers JS, Bailey JV, Klazinga NS, et al. Inside guidelines: comparative analysis of recommendations and evidence in diabetes guidelines from 13 countries. Diabetes Care 2002;11:1933-1939.29. Zwart-van Rijkom JE, Leufkens HG, Busschbach JJ, et al. Differences in attitudes, knowledge and use of economic evaluations in decision-making in The Netherlands. The Dutch results from the EUROMET Project. Pharmacoeconomics 2000;2:149-160.32. Van der Grinten TED. Hervorming van de gezondheidszorg. Zal het deze keer wel lukken? Beleid & Maatschappij 2002;3:172-176.


Author(s):  
Armanda Cetrulo ◽  
Dario Guarascio ◽  
Maria Enrica Virgillito

Abstract Which type of work do Italians perform? In this contribution, we aim at detecting the anatomy of the Italian occupational structure by taking stock of a micro-level dataset registering the task content, the execution of procedures, the knowledge embedded in the work itself, called ICP (Indagine Campionaria sulle Professioni), the latter being comparable to the U.S. O*NET dataset. We perform an extensive empirical investigation moving from the micro to the macro level of aggregation. Our results show that the Italian occupational structure is strongly hierarchical, with the locus of power distinct by the locus of knowledge generation. It is also weak in terms of collaborative and worker involvement practices, and possibility to be creative. Our analysis allows to pinpoint the role exerted by hierarchical structures, decision-making autonomy, and knowledge as the most relevant attributes characterizing the division of labor.


Author(s):  
MARKUS WELLE ◽  
SABINE KUESTER ◽  
MONIKA C. SCHUHMACHER

Effective decision-making in innovation development is decisive for innovation success, but also poses a major challenge for companies. Building on the information-processing view of organisational design, this study investigates how companies should organise functional decision-making authority in innovation development to engender innovation success. Additionally, this research explores the interplay between the design of functional decision-making authority and organisational innovativeness representing an aspect of organisational culture. Based on two datasets garnered from a survey and an experiment with managers experienced in innovation development, the study demonstrates that the dispersion of decision-making authority across functional groups positively affects the performance of an innovation. Further, the results reveal that environmental turbulence positively moderates the effect of the dispersion of decision-making authority on innovation performance. Finally, organisational innovativeness leads to a higher dispersion of decision-making authority. This study offers important implications for managers seeking to organise functional decision-making authority in innovation development more effectively.


2011 ◽  
Vol 35 (3) ◽  
pp. 278 ◽  
Author(s):  
Abdolvahab Baghbanian ◽  
Ian Hughes ◽  
Freidoon A. Khavarpour

Objective. To explore dimensions and varieties of economic evaluations that healthcare decision-makers do or do not use. Design. Web-based survey. Setting and participants. A purposive sample of Australian healthcare decision-makers was recruited by direct invitation through email. All were invited to complete an online questionnaire derived from the EUROMET 2004 survey. Results. A total of 91 questionnaires were analysed. Almost all participants were involved in financial resource allocations. Most commonly, participants based their decisions on patient needs, effectiveness of interventions, cost of interventions or overall budgetary effect, and policy directives. Evidence from cost-effectiveness analysis was used by half of the participants. Timing, ethical issues and lack of knowledge about economic evaluation were the most significant barriers to the use of economic evaluations in resource allocation decisions. Most participants reported being moderately to very familiar with the cost-effectiveness analysis. There was a general impression that evidence from economic evaluations should play a larger role in the future. Conclusions. Evidence from health economic evaluations may provide valuable information in some decisions; however, at present, it is not central to many decisions. The study suggests that, for economic evaluation to be helpful in real-life policy decisions, it has to be placed into context – a context which is complex, political and often resistant to voluntary change. What is known about the topic? There are increasing calls for the use of evidence from formal economic evaluations to improve the quality of healthcare decision making; however, it is widely acknowledged that such evidence, as presently constituted, is underused in its influence on allocation decisions. What does this paper add? This study highlights that resource allocation decisions cannot be purely based on the use of technical, economic data or systematic evidence-based reviews. In order to exploit the full potential value of economic evaluations, researchers need to make better sense of decision contexts at specific times and places. What are the implications for practitioners? The study has the potential to expand researchers and policy-makers’ understanding of the limited use of economic evaluation in decision-making. It produces evidence that decision-making in Australia’s healthcare system is not or cannot be a fully rational bounded process. Economic evaluation is used in some contexts, where information is accurate, complete and available.


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