FROM TALK TO ACTION: POLICY STAKEHOLDERS, APPROPRIATENESS, AND SELECTIVE DISINVESTMENT
P Alison Paprica, Anthony J Culyer, Adam G Elshaug, Justin Peffer, Guillermo A Sandoval
International Journal of Technology Assessment in Health Care | CAMBRIDGE UNIV PRESS | Published : 2015
OBJECTIVES: There is widespread commitment--at least in principle--to "evidence-informed" clinical practice and policy development in health care. The intention is that only "appropriate" care ought to be delivered at public expense. Although the rationale for an appropriateness agenda is widely endorsed, and methods have been proposed for addressing it, few published studies exist of contemporary policy initiatives which have actually led to successful disinvestment. Our objective was to explore whether the direct involvement of policy stakeholders could advance appropriateness and disinvestment. METHODS: Several collaborative engagements with policy stakeholders were undertaken to adapt an..View full abstract
Dr. Elshaug reports grants from The Commonwealth Fund, during the conduct of the study; personal fees from NPS MedicineWise, grants from HCF Research Foundation, grants from National Health and Medical Research Foundation (NHMRC), other from Cancer Australia, personal fees and other from Capital Markets Cooperative Research Centre, personal fees from Australian Commission on Safety and Quality in Health Care, outside the submitted work.