Bridging the Gap: Exploring the Barriers to Using Economic Evidence in Healthcare Decision Making and Strategies for Improving Uptake

Gregory Merlo, Katie Page, Julie Ratcliffe, Kate Halton, Nicholas Graves

    Research output: Contribution to journalReview articlepeer-review

    27 Citations (Scopus)

    Abstract

    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.

    Original languageEnglish
    Pages (from-to)303-309
    Number of pages7
    JournalApplied Health Economics and Health Policy
    Volume13
    Issue number3
    DOIs
    Publication statusPublished - 7 Oct 2015

    Keywords

    • Decision Maker
    • Economic Evaluation
    • Healthcare Decision
    • Healthcare Decision Maker
    • Ethical Acceptability

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