Decision-making frameworks and considerations for informing coverage decisions for healthcare interventions: A critical interpretive synthesis

Publication date: Available online 6 October 2017
Source:Journal of Clinical Epidemiology
Author(s): Rebecca L. Morgan, Leah Kelley, Gordon Guyatt, Ana Johnson, John N. Lavis
ObjectiveTo guide decision-making about whether or not to pay for a new healthcare intervention, a number of existing frameworks systematically weigh scientific evidence, cost, and social and ethical values. Each framework has strengths and limitations. This study aims to review and summarize available frameworks, and generate an integrated framework, if and where applicable, highlighting particular issues faced with expensive but effective and desirable healthcare interventions.Study Design and SettingWe conducted a critical interpretive synthesis to inform decision-making about healthcare interventions. We updated prior systematic reviews on decision-making frameworks through 2015. Purposive sampling identified relevant constructs and considerations to facilitate decision-making.ResultsOut of 2980 references, we purposively sampled 19 frameworks. The new framework, which built upon the GRADE Evidence to Decision (EtD) framework, included burden of disease, benefits and harms, values and preferences, resource use, equity, acceptability, and feasibility. Modifications to the EtD framework included adding limitations of alternative technologies considerations in use (expanding benefits and harms) and broadening acceptability and feasibility constructs to include political and health system factors. No modifications appeared necessary to address the situation of effective but expensive and desirable interventions.ConclusionGuideline developers, health technology assessment producers, and decision-makers can use our integrated framework to inform decision-making about healthcare interventions.



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