The ecosystem of health decision making : from fragmentation to synergy
Schünemann, H.J. (Humanitas University)
Reinap, M. (WHO Regional Office for Europe)
Piggott, T. (McMaster University (Canadà))
Laidmäe, E. (Estonian Health Insurance Fund)
Köhler, K. (WHO Country Office in Estonia)
Pōld, M. (University of Tartu)
Ens, B. (Canadian Agency for Drugs and Technology in Health)
Irs, A. (Tartu University Hospital)
Akl, E.A. (American University of Beirut)
Cuello, C.A. (Canadian Agency for Drugs and Technology in Health)
Falavigna, M. (Federal University of Rio Grande do Sul)
Gibbens, M. (Canadian Agency for Drugs and Technology in Health)
Neamtiu, L. (Joint Research Centre. European Commission)
Parmelli, E. (Joint Research Centre. European Commission)
Jameleddine, M. (National Authority for Assessment and Accreditation in Healthcare)
Pyke, L. (Canadian Agency for Drugs and Technology in Health)
Verstijnen, I. (National Health Care Institute)
Alonso-Coello, Pablo (Institut d'Investigació Biomèdica Sant Pau)
Tugwell, P. (University of Ottawa)
Zhang, Y. (Michael G. McMaster University)
Saz-Parkinson, Z. (Instituto de Salud Carlos III)
Kuchenmüller, T. (WHO)
Moja, L. (WHO)
Universitat Autònoma de Barcelona

Date:	2022
Abstract:	Clinicians, patients, policy makers, funders, programme managers, regulators, and science communities invest considerable amounts of time and energy in influencing or making decisions at various levels, using systematic reviews, health technology assessments, guideline recommendations, coverage decisions, selection of essential medicines and diagnostics, quality assurance and improvement schemes, and policy and evidence briefs. The criteria and methods that these actors use in their work differ (eg, the role economic analysis has in decision making), but these methods frequently overlap and exist together. Under the aegis of WHO, we have brought together representatives of different areas to reconcile how the evidence that influences decisions is used across multiple health system decision levels. We describe the overlap and differences in decision-making criteria between different actors in the health sector to provide bridging opportunities through a unifying broad framework that we call theory of everything. Although decision-making activities respond to system needs, processes are often poorly coordinated, both globally and on a country level. A decision made in isolation from other decisions on the same topic could cause misleading, unnecessary, or conflicted inputs to the health system and, therefore, confusion and resource waste.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Ressenya ; recerca ; Versió publicada
Published in:	The Lancet public health, Vol. 7 Núm. 4 (april 2022) , p. e378-e390, ISSN 2468-2667

DOI: 10.1016/S2468-2667(22)00057-3
PMID: 35366410

13 p, 396.5 KB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
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Articles > Published articles
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