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Increasing the impact of economic evaluations on health care decision-making

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  • Douglas Coyle

Abstract

Although there is a substantial amount of literature recording the increasing number of economic evaluations of health care interventions, there is little discussion of the level of impact such studies have had on decision-making. In this paper the evidence relating to impact which does exist is examined. The implication from this is that social science research has made little direct impact on health care decision-making. Theories relating to the process of research utilisation in decision-making are examined to ascertain why research may fail to be of influence. This leads to the conclusion that a major determinant of the level of impact made by research are the actions of the researchers. This paper concludes with the recommendations to researchers on how to increase the level of influence made by studies.

Suggested Citation

  • Douglas Coyle, 1993. "Increasing the impact of economic evaluations on health care decision-making," Working Papers 108chedp, Centre for Health Economics, University of York.
    • Handle: RePEc:chy:respap:108chedp
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    File URL: http://www.york.ac.uk/media/che/documents/papers/discussionpapers/CHE%20Discussion%20Paper%20108.pdf
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    References listed on IDEAS

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    1. Tony J Culyer, 1985. "Health service efficiency - appraising the appraisers," Working Papers 010chedp, Centre for Health Economics, University of York.
    2. Loomes, Graham & McKenzie, Lynda, 1989. "The use of QALYs in health care decision making," Social Science & Medicine, Elsevier, vol. 28(4), pages 299-308, January.
    3. Cromwell, Jerry & Mitchell, Janet B., 1986. "Physician-induced demand for surgery," Journal of Health Economics, Elsevier, vol. 5(4), pages 293-313, December.
    4. Shiell, Alan & Gerard, Karen & Donaldson, Cam, 1987. "Cost of illness studies: An aid to decision-making?," Health Policy, Elsevier, vol. 8(3), pages 317-323, December.
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    Cited by:

    1. Mike Drummond & Jonathan Cooke & Tom Walley, 1996. "Economic evaluation in health care decision making: evidence from the UK," Working Papers 148chedp, Centre for Health Economics, University of York.
    2. Linda Davies & Mike Drummond & Panos Papanikoloau, 1999. "Prioritising investments in health technology assessment: can we assess the potential value for money?," Working Papers 170chedp, Centre for Health Economics, University of York.
    3. Gregory Merlo & Katie Page & Julie Ratcliffe & Kate Halton & Nicholas Graves, 2015. "Bridging the Gap: Exploring the Barriers to Using Economic Evidence in Healthcare Decision Making and Strategies for Improving Uptake," Applied Health Economics and Health Policy, Springer, vol. 13(3), pages 303-309, June.
    4. Lessard, Chantale & Contandriopoulos, André-Pierre & Beaulieu, Marie-Dominique, 2010. "The role (or not) of economic evaluation at the micro level: Can Bourdieu's theory provide a way forward for clinical decision-making?," Social Science & Medicine, Elsevier, vol. 70(12), pages 1948-1956, June.
    5. Karin Sundin & Ulla Fahlen & Monica Lundgren & Catrine Jacobsson, 2014. "Registered Nurses’ Experiences of Priorities in Surgery Care," Clinical Nursing Research, , vol. 23(2), pages 153-170, April.
    6. Duthie, Tessa & Trueman, Paul & Chancellor, Jeremy & Diez, Lara, 1999. "Research into the use of health economics in decision making in the United Kingdom--Phase II: Is health economics `for good or evil'?," Health Policy, Elsevier, vol. 46(2), pages 143-157, January.
    7. David Kernick, 2002. "Health economics: an evolving paradigm but sailing in the wrong direction? A view from the front line," Health Economics, John Wiley & Sons, Ltd., vol. 11(1), pages 87-88, January.

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