Evidence Of Evidence-Based Health Policy: The Politics Of Systematic Reviews In Coverage Decisions

Fox, Daniel M.

doi:10.1377/hlthaff.24.1.114

Cited by 104 publications

(60 citation statements)

References 3 publications

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“…With evidence-informed decisionmaking as an expectation in healthcare management and policy (Cookson 2005), there is a need to seek out and apply current knowledge on health systems integration to advance effective service delivery. Systematic reviews can serve as a tool for evidence-based decision-making for health planners and policy makers (Cookson 2005;Fox 2005;Moynihan 2004).…”

Section: Introductionmentioning

confidence: 99%

Ten Key Principles for Successful Health Systems Integration

Suter¹,

Oelke²,

Adair³

et al. 2009

hcq

358

479

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Integrated health systems are considered part of the solution to the challenge of sustaining Canada's healthcare system. This systematic literature review was undertaken to guide decisionmakers and others to plan for and implement integrated health systems.This review identified 10 universal principles of successfully integrated healthcare systems which may be used by decision-makers to assist with integration efforts. These principles define key areas for restructuring and allow organizational flexibility and adaptation to local context. The literature does not contain a one-size-fits-all model or process for successful integration, nor is there a firm empirical foundation for specific integration strategies and processes.

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Section: Introductionmentioning

confidence: 99%

Ten Key Principles for Successful Health Systems Integration

Suter¹,

Oelke²,

Adair³

et al. 2009

hcq

358

479

View full text Add to dashboard Cite

show abstract

“…In recent years, interest in evidence-based principles and practice across multiple health care disciplines has surged. The evidence-based movement has had considerable impact on health care research and practice, and has also influenced health care policies, including insurance reimbursement (Cookson, 2005;Fox, 2005). More recently, the evidence-based movement has been endorsed in behavioral health disciplines such as clinical psychology (APA Presidential Task Force on Evidence-Based Practice, 2006; Davidson & Spring, 2006) and behavioral medicine (Davidson et al, 2003;Marteau, Dieppe, Foy, Kinmouth, & Schneiderman, 2006).…”

Section: Introductionmentioning

confidence: 99%

Barriers and facilitators of evidence‐based practice perceived by behavioral science health professionals

Spring²,

et al. 2007

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Progress in implementing evidence-based behavioral practices has been slow. A qualitative study was performed to characterize the major facilitators and barriers to evidence-based practice (EBP) perceived by behavioral professionals. Members of professional e-mail listservs were queried and 84 barriers and 48 facilitators were nominated by 37 respondents. Thematic analysis revealed seven themes to describe both barriers and facilitators: (a) training, (b) attitudes, (c) consumer demand, (d) logistical considerations, (e) institutional support, (f) policy, and (g) evidence. Most frequently cited barriers included negative attitudes about EBP and lack of training. Barriers also reflected confusion between EBP and the products of EBP (i.e., empirically supported treatments [ESTs]). Main facilitators included a growing evidence base. Results suggest that uptake of EBP may be facilitated by education and training.

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“…Despite skepticism about whether the research evidence base is adequately developed or sufficiently relevant to guide policy decisions, research has increasingly become a basis for health care policy-making (Cookson, 2005;Fox, 2005). The Agency for Healthcare Research and Quality contracts with the Evidence-Based Practice Centers (EPC) to produce systematic evidence reviews.…”

Section: Discussionmentioning

confidence: 99%

“…The definition resonates with the one originally set forth by the Institute of Medicine (IOM, 2001) and represents a joining of psychology to the larger evidence-based practice movement that includes numerous clinical disciplines. This is good news for psychology practitioners and researchers given that health care policies, including insurance reimbursement, are based increasingly upon systematic reviews of research evidence of the efficacy and effectiveness of treatments (Cookson, 2005;Fox, 2005). The continuing emphasis by psychologists on empirically supported treatments (Chambless & Ollendick, 2001) should bode well for how behavioral treatments will fare in research evaluation.…”

Section: Evidence-based Health Carementioning

confidence: 99%

Examination of the analytic quality of behavioral health randomized clinical trials

et al. 2006

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Adoption of evidence-based practice (EBP) policy has implications for clinicians and researchers alike. In fields that have already adopted EBP, evidence-based practice guidelines derive from systematic reviews of research evidence. Ultimately, such guidelines serve as tools used by practitioners. Systematic reviews of treatment efficacy and effectiveness reserve their strongest endorsements for treatments that are supported by high-quality randomized clinical trials (RCTs). It is unknown how well RCTs reported in behavioral science journals fare compared to quality standards set forth in fields that pioneered the evidence-based movement. We compared analytic quality features of all behavioral health RCTs (n = 73) published in three leading behavioral journals and two leading medical journals between January 2000 and July 2003. A behavioral health trial was operationalized as one employing a behavioral treatment modality to prevent or treat an acute or chronic physical disease or condition. Findings revealed areas of weakness in analytic aspects of the behavioral health RCTs reported in both sets of journals. Weaknesses were more pronounced in behavioral journals. The authors offer recommendations for improving the analytic quality of behavioral health RCTs to ensure that evidence about behavioral treatments is highly weighted in systematic reviews.

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Evidence Of Evidence-Based Health Policy: The Politics Of Systematic Reviews In Coverage Decisions

Cited by 104 publications

References 3 publications

Ten Key Principles for Successful Health Systems Integration

Ten Key Principles for Successful Health Systems Integration

Barriers and facilitators of evidence‐based practice perceived by behavioral science health professionals

Examination of the analytic quality of behavioral health randomized clinical trials

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