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When is it cost-effective to change the behavior of health professionals?

Mason, J., Freemantle, N., Nazareth, I., Eccles, M., Haines, A. and Drummond, M. (2001) When is it cost-effective to change the behavior of health professionals? Journal of American Medical Association, 286 (23). pp. 2988-2992. ISSN 0098-7484

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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.

Item Type: Article
Institution: The University of York
Academic Units: The University of York > Centre for Health Economics (York)
Depositing User: York RAE Import
Date Deposited: 07 May 2009 15:44
Last Modified: 07 May 2009 15:44
Published Version: http://dx.doi.org/10.1001/jama.286.23.2988
Status: Published
Publisher: American Medical Association
Identification Number: 10.1001/jama.286.23.2988
URI: http://eprints.whiterose.ac.uk/id/eprint/6481

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