Grove, Amy L., Sanders, Tom, Salway, Sarah, Goyder, Elizabeth and Hampshaw, Susan (2019) A qualitative exploration of evidence-based decision making in public health practice and policy : the perceived usefulness of a diabetes economic model for decision makers. Evidence & Policy: A Journal of Research, Debate and Practice, 15 (4). pp. 461-487. doi:10.1332/174426418x15245020185055

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Abstract

Purpose

The purpose of this paper is to explore the perceived usefulness of a diabetes economic model as a potential tool for aiding evidence-based decision making in public health.

Methods

Fifteen interviews and two focus groups with four participants each were conducted with health and management professionals working in one public health department in a local council. Data were analysed using inductive thematic analysis to generate four themes.

Findings

Findings reflect attitudes and beliefs of a diverse staff group situated in public health services. They demonstrate that the model had perceived usefulness, and participants reported positive views regarding the principles of economic modelling for decision making. The model was perceived as useful but potentially problematic in practice due to organisational constraints linked to limited resources, restricted budgets and local priorities. Differences in institutional logics of staff working in public health and local government were identified as a potential barrier to the use of the model in practice.

Discussion

The findings highlight anticipated challenges that individuals tasked with making decisions for public health practice and policy could face if they selected to implement an economic modelling approach to fulfill their evidence needs. Previous studies have revealed that healthcare decision makers would find evidence around the economic impacts of public health interventions useful, but this information was not always available in the format required. This paper provides insights into how staff working in public health perceive economic modelling, and explores how they consider evidence from a model when making public health practice and policy decisions.

Item Type:	Journal Article
Subjects:	R Medicine > R Medicine (General)
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
SWORD Depositor:	Library Publications Router
Library of Congress Subject Headings (LCSH):	Medical economics, Diabetes -- Treatment -- Cost effectiveness -- Case studies, Medical care -- Decision making
Journal or Publication Title:	Evidence & Policy: A Journal of Research, Debate and Practice
Publisher:	The Policy Press
ISSN:	1744-2656
Official Date:	November 2019
Dates:	Date Event November 2019 Published 2 May 2018 Available 2 May 2018 Accepted
Volume:	15
Number:	4
Page Range:	pp. 461-487
DOI:	10.1332/174426418x15245020185055
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
Description:	Sources of support: This work was supported by the UK National Screening Committee (NSC). Sian Taylor-Phillips, Aileen Clarke, Chris Stinton, and Hannah Fraser are supported by the National Institute of Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care West Midlands. The views expressed in this publication are those of the authors and are not necessarily those of the NHS, NIHR or UK NSC. None of the authors have any competing interests. Acknowledgements: We would like to thank Dr Michael Millar, Dr Arlene Reynolds, and Dr Magdalena Skrybant for providing advice and input into this research. We would also like to thank our funders.

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