Healthcare Decision-Making

Healthcare Decision-Making is a research area within Centre for Medical Technology Assessment (CMT). The area brings together research and evaluation projects in which healthcare decision-making makes a vital role.

Decision-making with healthcare implications spans a broad area, and is relevant at the national, regional, local and patient levels and in public and private spheres. The main focus of our studies in this area is decision-making beyond patient level; that is, at the organisational and societal levels.

The research area covers different aspects of the decision-making process including; defining the decision problem, determining which actors are involved and who are given the opportunity to influence the decision-making process, how decisions are carried out and what is included, how decisions are implemented, and the implications of decision processes.

The three main fields of research include:

• Innovation
• Governance
• Priority Setting

Innovation

This field covers the translation of research results into methods and healthcare practices. The introduction, adoption and implementation of new methods in the healthcare system are under study as well as Research & Development in healthcare. Special attention is paid to the problems associated with evaluations and decisions pertaining to methods being used on an experimental basis. Research specifically oriented toward medical devices is also included in this field.

Governance

This field covers the development and application of types of governance at the national, regional, and local levels, including different ways of influencing healthcare systems and actors through, for instance, formal decisions, organisational changes, the use of soft law e.g. policies, action programmes, memoranda, evidence-based guidelines, and the use of financial and other incentives.

Priority Setting

This field covers decisions about priority setting in healthcare and how such decisions can be improved. It is concerned with the principles involved in defining the obligations of the public sector, how evidence in support of prioritisation has evolved over time, how the healthcare patient population (e.g. more elderly co-morbid patients) affects the conditions and assumptions for evidence-based prioritisation, and how priority-setting processes and priority-setting policies are designed, developed and applied over time.

Photo credit: Emma Busk Winquist
Group of researchers that works with the area Healthcare Decisionmaking.
From the left: Karin Bäckman, Suzana Holmér, Barbro Krevers, Ann-Charlotte Nedlund, Mari Broqvist, Kerstin Roback, Peter Garpenby

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