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Exploring the use of economic evidence to inform investment in disease prevention - a qualitative study

Liu, Hueiming, Muhunthan, Janani, Ananthapavan, Jaithri, Hawe, Penelope, Shiell, Alan and Jan, Stephen 2018, Exploring the use of economic evidence to inform investment in disease prevention - a qualitative study, Australian and New Zealand journal of public health, vol. 42, no. 2, pp. 200-206, doi: 10.1111/1753-6405.12748.

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Title Exploring the use of economic evidence to inform investment in disease prevention - a qualitative study
Author(s) Liu, Hueiming
Muhunthan, Janani
Ananthapavan, JaithriORCID iD for Ananthapavan, Jaithri orcid.org/0000-0002-5957-6931
Hawe, Penelope
Shiell, Alan
Jan, Stephen
Journal name Australian and New Zealand journal of public health
Volume number 42
Issue number 2
Start page 200
End page 206
Total pages 7
Publisher John Wiley & Sons
Place of publication Chichester, Eng.
Publication date 2018-04
ISSN 1326-0200
1753-6405
Keyword(s) health economics
qualitative research
prevention of chronic disease
Summary Objective: In the context of growing financial pressures on health budgets, cost‐effective prevention strategies are needed to address the burden from non‐communicable disease in Australia. We explored how decision makers use economic evidence to inform such investment and how such evidence generated can more effectively meet the needs of end users.

Methods: Thematic analysis of in‐depth interviews with 15 high level stakeholders (Treasury, state health departments and the insurance industry), supplemented by documentary analysis.

Results: Types of prevention approaches and economic evidence relevant to decision makers differed by organisational perspective. Capacity building in understanding economic evaluations and research evidence that addresses the differing criteria for investment used by different organisations is needed. The task of determining investment priorities in disease prevention comes with significant challenges including ideological barriers, delayed outcome measures, and implementation uncertainties.

Conclusions and Implications for public health: Promoting the greater use of economic evidence in prevention requires more work on two fronts: tailoring the methods used by economists to better match the organisational imperatives of end users; and promoting greater consideration of broader societal and health sector perspectives among end users. This will require significant infrastructure development, monitoring and evaluation, stronger national leadership and a greater emphasis on evidence coproduction.
Language eng
DOI 10.1111/1753-6405.12748
Field of Research 1117 Public Health And Health Services
1402 Applied Economics
1605 Policy And Administration
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2017, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution Non-Commercial No-Derivatives licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30105713

Document type: Journal Article
Collections: Population Health
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.