A method to integrate scientific and clinical knowledge to achieve the appropriate utilisation of major medical and surgical procedures

Información del proyecto

Identificador del acuerdo de subvención: BMH4961202

Proyecto cerrado

Fecha de inicio 1 Julio 1996

Fecha de finalización 30 Junio 1999

Financiado con arreglo a

• Specific research, technological development and demonstration programme in the field of biomedicine and health, 1994-1998

Coste total

Sin datos

Aportación de la UE

Sin datos

Coordinado por

Stichting European-American Centre for Policy Analysis
Netherlands

Objetivo

- To link ongoing European research employing the RAND appropriateness method (RAM) in a way that co-ordinates methodological development.
- To increase the degree to which countries benefit from each others' and joint use of the RAM.
- To improve the delivery of health care by health care managers' understanding and use of health services research. These three global objectives translate into a set of measurable objectives:

Faced with a need to determine the criteria for the appropriate use of procedures, health services researchers in a number of European countries have been turning to a method that can provide policy makers information about the nature and extent of both overuse and underuse of frequent and/or expensive medical and surgical procedures. The centrepoint of this method is a modified Delphi expert panel whose inputs are a thorough review of the scientific literature and the clinical judgement of experienced and respected practitioners and whose output is a rating of the appropriateness and necessity of the procedure for every member of a comprehensive list of its indications. These ratings are then set against data regarding actual usage to determine the appropriateness if the procedure's use.
The experience of the researchers has brought awareness of a need to modify the method, in order to improve its reliability, consistency, and ease of use. The reinforced concerted action proposed here will link the principal European users of the method, in order to co-ordinate the needed methodological improvements. While each research centre will study topics dictated by national priorities (subsidiarity), the methodological advancement will be of a scope, rate, and quality that could not otherwise be achieved (community added value). This will yield benefits in the form of a closer connection between health research and health policy, which, in turn, will mean a healthier population.

Features of the tasks to be undertaken in this concerted action include: (1) design of a supra-study plan to co-ordinate the individual partners' projects, (2) multi-national panels to determine how different countries might benefit from common determinants of appropriateness, (3) a series of specific experiments to refine the appropriateness method, (4) targeted training in data handling for partners' statistical and computational staffs, and (5) involvement of health care professionals in the studies in order to give them a better understanding of health services research. Dissemination of results will be through peer-reviewed journal publications and outreach (e.g. via the European Health Policy Forum) to European health policy makers.

Ámbito científico (EuroSciVoc)

• ciencias médicas y de la salud › medicina clínica › cirugía › operación quirúrgica

Programa(s)

• FP4-BIOMED 2 - Specific research, technological development and demonstration programme in the field of biomedicine and health, 1994-1998

Tema(s)

• 6.5 - Quality of health care

Convocatoria de propuestas

Datos no disponibles

Régimen de financiación

CON - Coordination of research actions

Coordinador

Stichting European-American Centre for Policy Analysis

• Aportación de la UE: Sin datos
• Dirección: 6,LANDBERGSTRAAT ; 2628 CE DELFT ; Países Bajos
• Coste total: Sin datos