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Translating economic evaluations into financing strategies for implementing evidence-based practices.

Alex R Dopp1, Suzanne E U Kerns2,3, Laura Panattoni4

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Summary

Translating economic evaluations into policy requires research on financing strategies for evidence-based practices (EBPs). This approach overcomes cost barriers, ensuring wider adoption and sustained public health impact.

Keywords:
Cost-benefitCost-effectivenessEconomic evaluationHealthcare financingImplementation strategies

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Area of Science:

  • Health Services Research
  • Health Economics
  • Implementation Science

Background:

  • Economic evaluations are increasingly used to assess benefits of evidence-based practices (EBPs) in healthcare.
  • Traditional economic evaluations often lack sufficient detail for policy and financing decisions regarding EBP implementation.
  • This paper addresses the gap by exploring how economic evaluations can inform EBP financing strategies.

Purpose of the Study:

  • To describe how economic evaluations can be translated into policy and practice through research on financing strategies.
  • To provide an overview of EBP implementation financing, identifying key stakeholders and decision points.
  • To illustrate the application of economic evaluations in informing EBP financing decisions through case examples.

Main Methods:

  • Overview of EBP implementation financing stakeholders and decision-making points.
  • Case study analysis of three examples: Pay-for-Success financing for multisystemic therapy, alternative payment models for oncology care, and fiscal mapping for a family support intervention.
  • Description of a research agenda for advancing EBP financing strategies.

Main Results:

  • Economic evaluations can inform decisions on EBP implementation and sustainment.
  • Case examples demonstrate the use of Pay-for-Success, alternative payment models, and fiscal mapping in financing EBPs.
  • A research agenda is proposed focusing on maximizing relevance, studying financing system changes, identifying optimal conditions, exploring phase-specific impacts, and fostering stakeholder partnerships.

Conclusions:

  • Financing strategies are crucial for overcoming cost barriers to EBP implementation and sustainment.
  • Translating economic evaluation findings into actionable policy requires dedicated research on financing.
  • Advancing research in EBP financing will enhance public health impact through wider EBP adoption.