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Going from evidence to dis-coverage decisions

Date and Location

Session: 

W2.10

Date: 

Saturday 21 September 2013 - 13:30 - 15:00

Location

Methods Group and core training

Methods Group

Applicability and Recommendations Methods Group
Contact persons and facilitators

Contact person

Elena Parmelli

Facilitators

Elena Parmelli
Marina Davoli
Laura Amato
Roberto D'Amico
Other contributors
First nameLast nameAffiliation and Country

First name

Lorenzo

Last name

Moja

Affiliation and Country

Univerity of Milan, Italy

First name

Silvia

Last name

Pregno

Affiliation and Country

Local Health Unit, Modena, Italy

First name

Massimo

Last name

Brunetti

Affiliation and Country

Local Health Unit, Modena, Italy

First name

Carlo

Last name

Saitto

Affiliation and Country

Local Health Unit, Rome, Italy
Target audience

Target audience

Policy makers and managers

Is your workshop restricted to a specific audience or open to all Colloquium participants?

Open

Level of knowledge required

Any
Type of workshop

Type of workshop

Discussion
Abstract text

Abstract

Objectives: To introduce, discuss and further develop a framework for going from evidence to decisions about disinvesting partially or completely on drugs, tests, devices, procedures or services that are considered of low clinical-value (dis-coverage decision). Description: The workshop will include brief presentations and group discussions. A conceptual framework will be presented, developed based on a review of the literature and stakeholder consultations, that incorporates key dimensions for taking coverage decisions and that will be applied to practical case studies of low clinical-value interventions (LCVIs). Participants will discuss evidence and its quality and then make dis-coverage recommendations mimicking real panel decision making. The application of the framework to decisions about disinvesting on LCIVs pertains to the need of an explicit and transparent way to rationalise national healthcare systems’ resources. We will conclude by discussing ways in which the framework could be further improved and how it could be presented to facilitate dis-coverage decisions informed by research evidence. The workshop will contribute to DECIDE (www.decide-collaboration.eu), a 5-year project funded by the European Commission’s FP7 that, building on the work of GRADE, aims at improving the dissemination of guidelines. Partners in DECIDE include members of the GRADE Working Group and four Cochrane Centres.