Ontario??s Formulary Committee

PausJenssen, Anne M.; Сингер, Петер; Detsky, Allan S.

doi:10.2165/00019053-200321040-00006

Cited by 52 publications

(5 citation statements)

References 15 publications

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“…The role of economic evaluation in the formulary decision process has changed over time. Earlier studies note the need to formally consider PE in decisions in Canada (Martin et al, ; PausJenssen et al, ; Duthie et al, ) and elsewhere (Duthie et al, ). Increasingly the use of PE has been built into the decision process (Barnieh et al, ; Bryan and Williams, ), specifically in the context of cancer drugs (Yong et al, ; Hoch et al, ; Hoch and Sabharwal, ).…”

Section: Challeges Of a Regionalized Review Processmentioning

confidence: 99%

“…Challenges inherent to economic evaluations of drugs include methodological/technical, understandability, and issues of credibility. Studies can be difficult to understand and interpret by their users, because of insufficient economic training (PausJenssen et al, ; Duthie et al, ; Bryan et al, ; Singer et al, ). Decision makers prefer short summaries and/or research abstracts, and many do not feel equipped to use economic studies (Berry et al, ; Thurston et al, ; Hoffman et al, ; Weizman et al, ).…”

Section: Challeges Of a Regionalized Review Processmentioning

confidence: 99%

“…Decision makers prefer short summaries and/or research abstracts, and many do not feel equipped to use economic studies (Berry et al, ; Thurston et al, ; Hoffman et al, ; Weizman et al, ). Studies of the use of PE by formulary committees identify as problems the poor quality of studies, the uncertainty surrounding data used in economic estimations, the variation in perspectives taken, and insufficient sensitivity analyses (PausJenssen et al, ; Yong et al, ; Godfrey and Parrot, ). Committees appear to have a preference for their own crude analyses over formal evidence (PausJenssen et al, ).…”

Section: Challeges Of a Regionalized Review Processmentioning

confidence: 99%

See 2 more Smart Citations

The evolution of the cancer formulary review in Canada: Can centralization improve the use of economic evaluation?

Wranik

Gambold

Hanson

et al. 2016

Int J Health Plann Mgmt

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SummaryPublic reimbursement of drugs is a costly proposition for health care systems. Decisions to add drugs to the public formulary are often guided by review processes and committees. The evolution of the formulary review process in Canada's publicly funded health system is characterized by increased centralization and systematization. In the past, the review of evidence and recommendation was conducted at the regional level, but was replaced with the pan‐Canadian Oncology Drug Review in 2011. We assess the extent to which centralization and systematization of the review process have responded to past challenges, focusing on the use of economic evaluation in the process. Past challenges with economic evaluation experienced by regionalized review committees were identified from literature and qualitative data collected in the province of Nova Scotia. We categorize these using a typology with a macro‐, meso, and micro‐level hierarchy, which provides a useful framework for understanding at which level change is required, and who has the authority to influence change. Using grounded theory methods, we identify approaches used by Nova Scotia past committee members to compensate for perceived shortcomings of the process. These include an undue reliance on other committee members, on the multidisciplinarity of the committee, and on past decisions. Using a policy analysis approach, we argue that centralization and systematization of the review process only partially address the shortcomings of the previous regionalized process. Lessons from Canada can inform policy discussions across all health systems, where similar challenges with the formulary review process have been identified. © 2016 The Authors. The International Journal of Health Planning and Management published by John Wiley & Sons Ltd.

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Section: Challeges Of a Regionalized Review Processmentioning

confidence: 99%

Section: Challeges Of a Regionalized Review Processmentioning

confidence: 99%

Section: Challeges Of a Regionalized Review Processmentioning

confidence: 99%

See 1 more Smart Citation

The evolution of the cancer formulary review in Canada: Can centralization improve the use of economic evaluation?

Wranik

Gambold

Hanson

et al. 2016

Int J Health Plann Mgmt

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“….. other values” [19]. Although CEA has also been promoted as a more precise, apolitical means for resolving difficult priority‐setting problems, studies of actual priority setting show that economic analysis has a limited direct impact on priority setting [20, 21, 22, 23].…”

Section: Priority Setting In Health Carementioning

confidence: 99%

Priority Setting in Surgery: Improve theProcess and Share the Learning

2003

Self Cite

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Surgeons and surgical programs encounter priority-setting challenges every day, such as in regard to purchasing new technologies or managing waiting lists for elective surgery. The purpose of this paper was to explore priority setting in surgery. Traditionally in surgery, priority-setting decisions for new technologies have been based on evidence of effectiveness and cost-effectiveness; and decisions about managing waiting lists for elective surgery have been based on urgency rating scores. The fairness of priority-setting processes in surgical programs should be enhanced to permit all relevant information and values to be considered. The quality of these decisions can be improved by using an approach that captures and shares lessons from each priority-setting experience. The approach we propose in this paper- describe, evaluate, and improve using a leading conceptual framework for priority setting, called "accountability for reasonableness"-can be used by any surgical program to improve its priority setting, share lessons with others, and develop an evidence base for how these important health policy decisions should be made.

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“…Economic analysis is theoretically the ideal decision aid [18]. Ehler (2009) pointed out that economic analysis can provide the framework to consider the requirements of different developers at the same time, and to identify potential conflicts at an early stage [19].…”

Section: Introductionmentioning

confidence: 99%

Economic Analysis for Coastal Principal Function Selection: Case Study of Xiamen Bay

Cai

Chen

2011

AMR

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The coastal zone is a dense human activity area, and has been under the heavy pressure from large population centers and various human activities. The scarcity and the use conflicts of coastal resources have become increasingly prominent problems. Coastal principal function zoning is an effective approach to solving these problems, and a helpful way to optimize resources allocation and support sustainable development. Determining the principal function is a key step in coastal principal function zoning. In this paper we make an attempt to apply economic analysis to the principal function selection in the coastal area of Xiamen Bay. Based on the distribution and characteristics of coastal resources, and the opinion of local residents revealed by a questionnaire investigation, we set two scenarios as alternative principal functions, i.e. to develop coastal tourism as a priority or to fully develop commercial port transportation in the research area. The net benefits of Scenario 1 and 2 are calculated by the constructed formulas, and the results are 3.4×1010 RMB Yuan/a and 7.4×109 RMB Yuan/a, respectively. Based on the economic analysis, we propose that coastal tourism should be chosen as the principal function in the coastal area of Xiamen Bay.

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Ontario??s Formulary Committee

Cited by 52 publications

References 15 publications

The evolution of the cancer formulary review in Canada: Can centralization improve the use of economic evaluation?

The evolution of the cancer formulary review in Canada: Can centralization improve the use of economic evaluation?

Priority Setting in Surgery: Improve theProcess and Share the Learning

Economic Analysis for Coastal Principal Function Selection: Case Study of Xiamen Bay

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