|DECIDE - Work Package Two|
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).
We have identified three types of strategies as priorities:
Additional strategies that we will explore include:
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
And to develop three specific topics for our framework
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
We established an international advisory group that includes:
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.
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.
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:
For further information about Work Package 2 contact:
Survey DECIDE - versione in italiano
Survey DECIDE - english version