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Why Economic Analysis of Health System Improvement Interventions Matters

There is little evidence to direct health systems toward providing efficient interventions to address medical errors, defined as an unintended act of omission or commission or one not executed as intended that may or may not cause harm to the patient but does not achieve its intended outcome. We bel...

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Detalles Bibliográficos
Autores principales: Broughton, Edward Ivor, Marquez, Lani
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5058346/
https://www.ncbi.nlm.nih.gov/pubmed/27781204
http://dx.doi.org/10.3389/fpubh.2016.00218
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author Broughton, Edward Ivor
Marquez, Lani
author_facet Broughton, Edward Ivor
Marquez, Lani
author_sort Broughton, Edward Ivor
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description There is little evidence to direct health systems toward providing efficient interventions to address medical errors, defined as an unintended act of omission or commission or one not executed as intended that may or may not cause harm to the patient but does not achieve its intended outcome. We believe that lack of guidance on what is the most efficient way to reduce medical errors and improve the quality of health-care limits the scale-up of health system improvement interventions. Challenges to economic evaluation of these interventions include defining and implementing improvement interventions in different settings with high fidelity, capturing all of the positive and negative effects of the intervention, using process measures of effectiveness rather than health outcomes, and determining the full cost of the intervention and all economic consequences of its effects. However, health system improvement interventions should be treated similarly to individual medical interventions and undergo rigorous economic evaluation to provide actionable evidence to guide policy-makers in decisions of resource allocation for improvement activities among other competing demands for health-care resources.
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spelling pubmed-50583462016-10-25 Why Economic Analysis of Health System Improvement Interventions Matters Broughton, Edward Ivor Marquez, Lani Front Public Health Public Health There is little evidence to direct health systems toward providing efficient interventions to address medical errors, defined as an unintended act of omission or commission or one not executed as intended that may or may not cause harm to the patient but does not achieve its intended outcome. We believe that lack of guidance on what is the most efficient way to reduce medical errors and improve the quality of health-care limits the scale-up of health system improvement interventions. Challenges to economic evaluation of these interventions include defining and implementing improvement interventions in different settings with high fidelity, capturing all of the positive and negative effects of the intervention, using process measures of effectiveness rather than health outcomes, and determining the full cost of the intervention and all economic consequences of its effects. However, health system improvement interventions should be treated similarly to individual medical interventions and undergo rigorous economic evaluation to provide actionable evidence to guide policy-makers in decisions of resource allocation for improvement activities among other competing demands for health-care resources. Frontiers Media S.A. 2016-10-11 /pmc/articles/PMC5058346/ /pubmed/27781204 http://dx.doi.org/10.3389/fpubh.2016.00218 Text en Copyright © 2016 Broughton and Marquez. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Broughton, Edward Ivor
Marquez, Lani
Why Economic Analysis of Health System Improvement Interventions Matters
title Why Economic Analysis of Health System Improvement Interventions Matters
title_full Why Economic Analysis of Health System Improvement Interventions Matters
title_fullStr Why Economic Analysis of Health System Improvement Interventions Matters
title_full_unstemmed Why Economic Analysis of Health System Improvement Interventions Matters
title_short Why Economic Analysis of Health System Improvement Interventions Matters
title_sort why economic analysis of health system improvement interventions matters
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5058346/
https://www.ncbi.nlm.nih.gov/pubmed/27781204
http://dx.doi.org/10.3389/fpubh.2016.00218
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