JM Mason
When is it cost-effective to change the behaviour of health professionals?
Mason, JM; Freemantle, N; Nazareth, I; Eccles, M; Haines, A; Drummond, M
Authors
N Freemantle
I Nazareth
M Eccles
A Haines
M Drummond
Abstract
Because of the workings of health care systems, new, important, and cost-effective treatments sometimes do not become routine care while well-marketed products of equivocal value achieve widespread adoption. Should policymakers attempt to influence clinical behavior and correct for these inefficiencies? Implementation methods achieve a certain level of behavioral change but cost money to enact. These factors can be combined with the cost-effectiveness of treatments to estimate an overall policy cost-effectiveness. In general, policy cost-effectiveness is always less attractive than treatment cost-effectiveness. Consequently trying to improve the uptake of underused cost-effective care or reduce the overuse of new and expensive treatments may not always make economic sense. In this article, we present a method for calculating policy cost-effectiveness and illustrate it with examples from a recent trial, conducted during 1997 and 1998, of educational outreach by community pharmacists to influence physician prescribing in England.
Citation
Mason, J., Freemantle, N., Nazareth, I., Eccles, M., Haines, A., & Drummond, M. (2001). When is it cost-effective to change the behaviour of health professionals?. Journal of the American Medical Association, 286(23), 2988-2992. https://doi.org/10.1001/jama.286.23.2988
Journal Article Type | Article |
---|---|
Publication Date | Dec 1, 2001 |
Deposit Date | May 10, 2007 |
Journal | Journal of the American Medical Association |
Print ISSN | 0098-7484 |
Electronic ISSN | 1538-3598 |
Publisher | American Medical Association |
Peer Reviewed | Not Peer Reviewed |
Volume | 286 |
Issue | 23 |
Pages | 2988-2992 |
DOI | https://doi.org/10.1001/jama.286.23.2988 |
Publisher URL | http://jama.ama-assn.org/cgi/content/abstract/286/23/2988 |
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