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Related Experiment Video

Updated: Jul 10, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 17, 2011

A framework for incorporating cost-effectiveness in evidence-based clinical practice guidelines.

J Mason¹, M Eccles, N Freemantle

¹Medicines Evaluation Group Centre for Health Economics, University of York, Heslington, UK. jmm7@york.ac.uk

Health Policy (Amsterdam, Netherlands)

|July 1, 1999

Summary

Clinical guidelines in England now incorporate health economic data. However, challenges remain in providing cost-effectiveness data, with limited information available for quality-adjusted life-year estimates.

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Area of Science:

Health Economics
Clinical Practice Guidelines
Healthcare Reform

Background:

Recent healthcare reforms in England emphasize clinical guidelines for effective and efficient care.
Integrating health economic data into guidelines presents methodological challenges, including cost estimation and accessibility for clinicians.

Purpose of the Study:

To explore the practicalities and challenges of incorporating health economic information into primary care clinical guidelines.
To assess how clinicians engage with and utilize economic data in treatment recommendation development.

Main Methods:

Development of primary care guidelines that explicitly included health economic information.
Involvement of clinicians in the guideline development process to derive treatment recommendations.

Main Results:

Clinicians responded positively to the process and successfully reached consensus on treatment recommendations.
Adequate data to estimate cost per quality-adjusted life-year was not available for any of the common disease areas addressed.

Conclusions:

While clinicians can integrate economic considerations, significant data gaps exist for formal cost-effectiveness analysis.
Further work is needed to refine methods for economic evaluation within clinical guideline development.