IDEAS home Printed from https://ideas.repec.org/a/spr/pharme/v33y2015i7p629-641.html
   My bibliography  Save this article

Gap Between Evidence and Patient Access: Policy Implications for Bariatric and Metabolic Surgery in the Treatment of Obesity and its Complications

Author

Listed:
  • Amarpreet Chawla
  • Chia-Wen Hsiao
  • Martha Romney
  • Ricardo Cohen
  • Francesco Rubino
  • Philip Schauer
  • Pierre Cremieux

Abstract

Despite consistently supportive evidence of clinical effectiveness and economic advantages compared with currently available non-surgical obesity treatments, patient access to bariatric and metabolic surgery (BMS) is impeded. To address this gap and better understand the relationship between value and access, the objectives of this study were twofold: (i) identify the multidimensional barriers to adoption of BMS created by clinical guidelines, public policies, and health technology assessments; and, most importantly, (ii) develop recommendations for stakeholders to improve patient access to BMS. Updated public policies focused on treatment and clinical guidelines that reflect the demonstrated advantages of BMS, patient education on safety and effectiveness, updated reimbursement policies, and additional data on long-term BMS effectiveness are needed to improve patient access. Copyright Springer International Publishing Switzerland 2015

Suggested Citation

  • Amarpreet Chawla & Chia-Wen Hsiao & Martha Romney & Ricardo Cohen & Francesco Rubino & Philip Schauer & Pierre Cremieux, 2015. "Gap Between Evidence and Patient Access: Policy Implications for Bariatric and Metabolic Surgery in the Treatment of Obesity and its Complications," PharmacoEconomics, Springer, vol. 33(7), pages 629-641, July.
    • Handle: RePEc:spr:pharme:v:33:y:2015:i:7:p:629-641
    DOI: 10.1007/s40273-015-0302-y
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.1007/s40273-015-0302-y
    Download Restriction: Access to full text is restricted to subscribers.
    File URL: https://libkey.io/10.1007/s40273-015-0302-y?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Franco Sassi & Michele Cecchini & Jeremy Lauer & Dan Chisholm, 2009. "Improving Lifestyles, Tackling Obesity: The Health and Economic Impact of Prevention Strategies," OECD Health Working Papers 48, OECD Publishing.
    2. Franco Sassi & Jeremy Hurst, 2008. "The Prevention of Lifestyle-Related Chronic Diseases: an Economic Framework," OECD Health Working Papers 32, OECD Publishing.
    3. Cawley, John & Meyerhoefer, Chad, 2012. "The medical care costs of obesity: An instrumental variables approach," Journal of Health Economics, Elsevier, vol. 31(1), pages 219-230.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Christian Frois & Pierre-Yves Cremieux, 2015. "For a Step Change to Curb the Obesity Epidemic," PharmacoEconomics, Springer, vol. 33(7), pages 613-617, July.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Md. Alauddin Majumder, 2013. "Does Obesity Matter for Wages? Evidence from the United States," Economic Papers, The Economic Society of Australia, vol. 32(2), pages 200-217, June.
    2. Bemile, Esther & Anders, Sven M., 2014. "Linking Diet-Health Behaviour and Obesity using Propensity Score Matching," 2014 International Congress, August 26-29, 2014, Ljubljana, Slovenia 182832, European Association of Agricultural Economists.
    3. Allais, Olivier & Etilé, Fabrice & Lecocq, Sébastien, 2015. "Mandatory labels, taxes and market forces: An empirical evaluation of fat policies," Journal of Health Economics, Elsevier, vol. 43(C), pages 27-44.
    4. Courtemanche, Charles & Tchernis, Rusty & Zhou, Xilin, 2017. "Parental Work Hours and Childhood Obesity: Evidence Using Instrumental Variables Related to Sibling School Eligibility," IZA Discussion Papers 10739, Institute of Labor Economics (IZA).
    5. Bastian, Nathaniel D. & Swenson, Eric R. & Ma, Linlin & Na, Hyeong Suk & Griffin, Paul M., 2017. "Incentive contract design for food retailers to reduce food deserts in the US," Socio-Economic Planning Sciences, Elsevier, vol. 60(C), pages 87-98.
    6. Bansal, S. & Zilberman, D., 2018. "Role of health care expenditure in countering adverse effects of obesity on health: Evidence from global data," 2018 Conference, July 28-August 2, 2018, Vancouver, British Columbia 275941, International Association of Agricultural Economists.
    7. Eugenio Zucchelli & Andrew M Jones & Nigel Rice, 2012. "The evaluation of health policies through dynamic microsimulation methods," International Journal of Microsimulation, International Microsimulation Association, vol. 5(1), pages 2-20.
    8. Neuhofer, Zachary & McFadden, Brandon R. & Rihn, Alicia & Wei, Xuan & Khachatryan, Hayk & House, Lisa, 2020. "Can the updated nutrition facts label decrease sugar-sweetened beverage consumption?," Economics & Human Biology, Elsevier, vol. 37(C).
    9. Johanna Catherine Maclean, 2016. "Does Leaving School in an Economic Downturn Persistently Affect Body Weight? Evidence from Panel Data," Industrial Relations: A Journal of Economy and Society, Wiley Blackwell, vol. 55(1), pages 122-148, January.
    10. Julian M. Alston & Joanna P. MacEwan & Abigail M. Okrent, 2016. "Effects of U.S. Public Agricultural R&D on U.S. Obesity and its Social Costs," Applied Economic Perspectives and Policy, Agricultural and Applied Economics Association, vol. 38(3), pages 492-520.
    11. Cavaliere, Alessia & De Marchi, Elisa & Banterle, Alessandro, 2013. "Time Preference and Health: The Problem of Obesity," 2013 International European Forum, February 18-22, 2013, Innsbruck-Igls, Austria 164754, International European Forum on System Dynamics and Innovation in Food Networks.
    12. Caliendo, Marco & Gehrsitz, Markus, 2016. "Obesity and the labor market: A fresh look at the weight penalty," Economics & Human Biology, Elsevier, vol. 23(C), pages 209-225.
    13. Joachim Marti & Michael R. Richards, 2017. "Smoking Response to Health and Medical Spending Changes and the Role of Insurance," Health Economics, John Wiley & Sons, Ltd., vol. 26(3), pages 305-320, March.
    14. O'Connell, Martin & Smith, Kate, 2020. "Corrective Tax Design and Market Power," CEPR Discussion Papers 14582, C.E.P.R. Discussion Papers.
    15. Jan Häußler, 2014. "Effects of Obesity and Physical Activity on Health Care Utilization and Costs," Working Paper Series of the Department of Economics, University of Konstanz 2014-07, Department of Economics, University of Konstanz.
    16. repec:ags:remeag:163038 is not listed on IDEAS
    17. Zasimova, Liudmila, 2022. "The association between fast-food consumption and job-related factors among Russian adults," Economics & Human Biology, Elsevier, vol. 46(C).
    18. Cremer, Helmuth & Goulão, Catarina & Roeder, Kerstin, 2016. "Earmarking and the political support of fat taxes," Journal of Health Economics, Elsevier, vol. 50(C), pages 258-267.
    19. Joachim Winter & Amelie Wuppermann, 2014. "Do They Know What Is At Risk? Health Risk Perception Among The Obese," Health Economics, John Wiley & Sons, Ltd., vol. 23(5), pages 564-585, May.
    20. Cawley, John & Price, Joshua A., 2013. "A case study of a workplace wellness program that offers financial incentives for weight loss," Journal of Health Economics, Elsevier, vol. 32(5), pages 794-803.
    21. Lori Liebl & Susan Barnason & Diane Brage Hudson, 2016. "Awakening: a qualitative study on maintaining weight loss after bariatric surgery," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(7-8), pages 951-961, April.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:pharme:v:33:y:2015:i:7:p:629-641. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.