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Politics and its intersection with coverage with evidence development: a qualitative analysis from expert interviews
Danielle Bishop1, Joel Lexchin
1Graduate Program in Health, York University, Toronto, Canada.
BMC Health Services Research
|March 19, 2013
Summary
Coverage with evidence development (CED) helps balance healthcare costs and access to new technologies. Recognizing the political nature of CED is crucial for its effective implementation and evaluation.
Area of Science:
- Health policy research
- Health economics
- Technology assessment
Background:
- Healthcare budget constraints necessitate careful consideration of new, costly technologies.
- Coverage with evidence development (CED) is a strategy to manage these decisions under uncertainty.
Purpose of the Study:
- To explore the complexities and political considerations surrounding Coverage with Evidence Development (CED).
- To identify barriers and alternatives to CED implementation across different countries.
Main Methods:
- Qualitative study involving 24 interviews with researchers, decision-makers, and policymakers.
- Interviews conducted between June 2009 and December 2010 in Australia, Canada, the UK, and the US.
- Thematic analysis using manual coding and NVIVO software.
Main Results:
- Four key themes emerged: defining CED, lack of systematic governance, industry and political influence, and barriers/alternatives.
- Analysis revealed significant political factors influencing CED implementation.
- Country-specific examples illustrated the political issues raised by interviewees.
Conclusions:
- The effectiveness and operation of CED remain unresolved without acknowledging its inherent political nature.
- Addressing the political dimensions is essential for the successful and fair application of CED.
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