Decision-making by healthcare payers

Bringing evidence to healthcare decision making.

key principle underlying the Excellent Care for All Act was the importance of evidence in guiding decisions across the healthcare system. The Canadian Agency for Drugs and Technologies in Health (CADTH) has led pan-Canadian efforts for several years to bring evidence to decisions about what will be covered and what will not be covered in Canadian healthcare. In this interview, the CEO of CADTH ...

Use of A Multi-Decision Criteria Analysis to Support Healthcare Decision-Making for Private Payers in Brazil: Development of a Model To Guide Reimbursement Decisions.

A value measurement Multi Decision Criteria Analysis (MCDA) model was developed in order to reflect different dimensions that influence healthcare decisions. A literature review was performed in order to identify the most common criteria and scores scales to be included in the model, which was further complemented by expert opinion. Analytical hierarchy process was used to weight the importance...

Understanding Decision-Making in Healthcare and the Law Shared Decision-Making

Shared decision-making (SDM) between physician and patient is an idea founded in ethics and the law and in some evidence of superior health outcomes. SDM is the practical reconciliation of respect for persons (autonomy) and the monopoly and power of physicians: a middle ground between “nanny-knows-best” paternalism and rampant consumerism. SDM includes the notion of a medical encounter as a “me...

Decision-making by Children

In this paper, we examine the determinants of decision-making power by children and young adolescents. Moving beyond previous economic models that treat children as goods consumed by adults, we develop a noncooperative model of parental control of child behavior and child resistance. Using child reports of decision-making and psychological and cognitive measures from the NLSY79 Child Supplement...

The Use of Evidence by Decision-Making Committees