• deplazio
    il Dipartimento di Epidemiologia del Servizio Sanitario del Lazio (DEP)
    con sede a Roma è un’istituzione attiva da oltre 30 anni
  • ambientale-valutativo
    il personale del DEP ha specifiche competenze di metodi
    epidemiologici in campo ambientale e valutativo
  • rischi ambientali
    Il DEP fornisce ai decisori le migliori conoscenze epidemiologiche
    per pianificare interventi di riduzione dei rischi per la salute
  • esiti
    Il DEP effettua studi di valutazione degli esiti delle cure sanitarie
  • cure sanitarie
    Il DEP fornisce evidenze per migliorare la qualità
    e l'efficacia delle cure sanitarie
  • inquinamento
    Il DEP valuta i rischi a breve e lungo termine associati
    all’esposizione ad inquinanti atmosferici
  • cambiamenti climatici
    Il DEP valuta l’impatto sulla salute dei cambiamenti climatici
    e degli eventi estremi ad essi associati

Registro Regionale Dialisi e Trapianti Lazio (RRDTL)

DECIDE - Work Package Two PDF Stampa E-mail

The focus of this work package is on evidence-based policy. As part of this project we are developing specific tools to assist policymakers, managers and their staff responsible for coverage decisions. By coverage decisions we mean decisions by third party payers -public or private health insurers- about whether and how much to pay for interventions (including drugs, tests, devices and services) and under what conditions, including representatives of public, private, health workers, NGOs, individuals, groups or organizations with particular expertise and experience (e.g. researchers, technical experts, people with relevant practical experience).

  • Development of strategies for communicating evidence to support evidence-informed decisions and user testing

We have identified three types of strategies as priorities:

  1. Development of frameworks for going from evidence to coverage decisions
  2. Development of strategies for presenting evidence to policymakers, including ways of presenting findings and ranges of effects to ensure appropriate understanding.
  3. Evaluation of how policymakers and managers understand and react to evidence presented

Additional strategies that we will explore include:

  • Strategies for presenting information about costs
  • Country specific information versus international information

Framework for going from evidence to health system decisions

After consultation with a panel of policy makers and managers with responsibility of coverage decisions coming from different parts of Italy, we finalized the choice of a possible framework. The discussion was mainly focused on the identification of examples of coverage decisions in their everyday work and the individuation of topics for developing conceptual frameworks.

After this consultation, we have decided to use topics common for all three WPs

  • Acute respiratory tract infections
  • Cervical cancer screening
  • Depression
  • Thrombosis

And to develop three specific topics for our framework

  • Atrial fibrillation, developed by the work package 5
  • Diabetes

A specific application of WP2 is within the field of opioid addiction where a specific interest from the EU Agency for drugs and drug addiction (EMCDDA) has expressed an interest for collaboration.

Development of strategies for presenting evidence

Advisory group

We established an international advisory group that includes:

  • Policymakers, managers and their staff responsible for coverage decisions
  • Researchers (including health systems researchers, evidence utilization researchers, communication researchers, health economists and statisticians)
  • Members of the GRADE working group with an interest in health system decisions

We will ask the advisory group for feedback on our strategies, particularly our framework for going from evidence to health system decisions, and for their feedback and input in connection with each subsequent phase of the project.

Survey

We will survey a diverse sample of policymakers and managers involved in coverage decisions to obtain their perceptions regarding current practices, and their preferences regarding presentation and dissemination strategies.

The results of the survey and the stakeholder consultation will be discussed and the strategies will be revised.

The English version of the survey can be downloaded as a pdf file.

User testing

Policymakers and managers from each partner country with a variety of relevant backgrounds will take part in the user tests.

Testing in real policy processes

The strategies will be tested by using them in real policy processes. We will evaluate the impacts of the strategies on decision-making processes and outcomes. Participants from each partner country with a variety of policy and management backgrounds will take part in the user tests; participants will be identified with the help of the responsible of the other work packages. We will guide test participants through a series of questions to explore what parts of the recommendations and supporting materials cause them problems, probing to better understand the nature of these problems. The results of the user test analyses will form the basis of issues that will be considered and the strategies will again be revised based on this input prior to Phase 2.

Contributors and contact information

Contributors to Work Package 2 include:

  • Laura Amato
  • Massimo Brunetti
  • Elena Parmelli
  • Nicola Magrini
  • Francesco Nonino
  • Vanna Pistotti
  • Silvia Pregno
  • Carlo Saitto

For further information about Work Package 2 contact:

Marina Davoli ( Questo indirizzo e-mail è protetto dallo spam bot. Abilita Javascript per vederlo. ) or Laura Amato ( Questo indirizzo e-mail è protetto dallo spam bot. Abilita Javascript per vederlo. )

 

Survey DECIDE - versione in italiano

Survey DECIDE - english version