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http://hdl.handle.net/1843/55569| Type: | Artigo de Periódico |
| Title: | Evidence for Health III: Making evidenceinformed decisions that integrate values and context |
| Authors: | Anne Andermann Tikki Pang John N. Newton Adrian Davis Ulysses de Barros Panisset |
| Abstract: | Making evidence-informed decisions with the aim of improving the health of individuals or populations can be facilitated by using a systematic approach. While a number of algorithms already exist, and while there is no single ‘right’ way of summarizing or ordering the various elements that should be involved in making such health-related decisions, an algorithm is presented here that lays out many of the key issues that should be considered, and which adds a special emphasis on balancing the values of individual patients and entire populations, as well as the importance of incorporating contextual considerations. Indeed many different types of evidence and value judgements are needed during the decision-making process to answer a wide range of questions, including (1) What is the priority health problem? (2) What causes this health problem? (3) What are the different strategies or interventions that can be used to address this health problem? (4) Which of these options, as compared to the status quo, has an added benefit that outweighs the harms? (5) Which options would be acceptable to the individuals or populations involved? (6) What are the costs and opportunity costs? (7) Would these options be feasible and sustainable in this specific context? (8) What are the ethical, legal and social implications of choosing one option over another? (9) What do different stakeholders stand to gain or lose from each option? and (10) Taking into account the multiple perspectives and considerations involved, which option is most likely to improve health while minimizing harms? This third and final article in the ‘Evidence for Health’ series will go through each of the steps in the algorithm in greater detail to promote more evidence-informed decisions that aim to improve health and reduce inequities |
| Subject: | Tomada de decisão Medicina Baseada em Evidências Equidade em Saúde Avaliação de Resultados em Cuidados de Saúde Política de Saúde |
| language: | eng |
| metadata.dc.publisher.country: | Brasil |
| Publisher: | Universidade Federal de Minas Gerais |
| Publisher Initials: | UFMG |
| metadata.dc.publisher.department: | MED - DEPARTAMENTO DE MEDICINA PREVENTIVA SOCIAL |
| Rights: | Acesso Aberto |
| metadata.dc.identifier.doi: | 10.1186/s12961-016-0085-4 |
| URI: | http://hdl.handle.net/1843/55569 |
| Issue Date: | 2016 |
| metadata.dc.url.externa: | https://health-policy-systems.biomedcentral.com/articles/10.1186/s12961-016-0086-3 |
| metadata.dc.relation.ispartof: | Health Research Policy and Systems |
| Appears in Collections: | Artigo de Periódico |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| Evidence for health III pdfa.pdf | 314.97 kB | Adobe PDF | View/Open |
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