Socioeconomic Impact of Policy Instruments for Health Research Dissemination (INFORMED).

Description: This project evaluates the socioeconomic effects of various policies that collect, integrate and translate health research into improving patient treatment. The project focuses on three overall policies: planning of medical specialties, clinical guidelines and building research capacity in hospitals. Qualitative and quantitative methods are used to investigate the research questions. In the qualitative studies, three hospitals are selected to be subject to in-depth ethnographic field studies and interviews with different types of employees. The quantitative studies are effect studies using registry data. Research on health and disease can be crucial to the quality of life of the population, and it may also reduce societal expenditure, because research can find more effective treatment methods. So far, the effects of research has not been investigated much. This project will contribute research on how knowledge is translated into practice.

Grant recipient

Jane Greve, senior researcher at VIVE. Ph.D. in Economics

Project start

2017

Project activities

New model for prioritised adoption and use of hospital medicine inDenmark since 2017: Challenges and perspectives

Abstract

Technological innovation creates new treatment opportunities, while also putting healthcare budgets under strain. To deal with the rising costs of hospital medicines, the regional governments in Denmark have developed a new model for prioritising the adoption and use of hospital medicine. Marking a shift from previous policies, the new model formalises the evaluation of clinical benefit, adds an assessment of treatment costs and ensures a relatively high degree of direct stakeholder involvement. In international comparison, the new model is ambitious in terms of stakeholder involvement and adherence with principles advocated to ensure procedural justice and fair decision-making processes. However, these procedural innovations have also created new challenges. Notably, the newly formed assessment body, the Danish Medicines Council, is faced with a very high caseload and limited options to prioritise the use of its analytical resources.

Publication: link

Team

Jane Greve

Principle investigator and Senior researcher Jane Greve is senior researcher at VIVE. She has a Ph.D. in Economics from Aarhus School of Business, Aarhus University. She is a trained health economist with a primary research interest in health behaviors and causal inference in experimental and quasi-experimental settings. Jane has a long experience working with Danish registers and possess a solid understanding of the complexities of these data and how they are generated. She has more than ten years of experience in conducting and publishing results from impact studies. Jane Greve is principle investigator (PI) and daily project leader. Furthermore, Jane is participating researcher in work package 2 and 3.

Mickael Beck

Professor Mickael Beck is professor in Public Health Management at Aarhus University, Crown Prince Frederik Center for Public Leadership. Mickael participates in the project as both researcher and a core member of the steering committee. Mickael participates in research questions related to research capability and how this may be a mechanism facilitating adoption and implementation of new technology, routines and guidelines.

Sarah Wadmann

Senior researcher Sarah Wadmann is lead researcher in WP1. Based on ethnographic fieldwork in the Danish Medicines Council she explores organizational conditions for prioritized adoption of new hospital medicines.

Amalie Martinus Hauge

Researcher Amalie Martinus Hauge is a postdoctoral researcher in WP1. Based on ethnographic fieldwork in hospital departments she explores how medical doctors make treatment decisions and how economic prioritization affects this process. Additionally, Amalie and project member Nis Lydiksen conduct a register-based study about unsolicited variation in treatment choices for lung cancer patients in Denmark.

Jakob Kjellberg

Professor Jakob Kjellberg With more than 20 years’ experience in heath economic research Professor Jakob Kjellberg has carried out numerous health economics evaluations. His research primarily focus on register-based evaluation and studies of how incentive structures affect health organizations. Jakob Kjellberg is research lead for Work package II about National speciality planning of treatment procedures. The aim of WP II is to study the effectiveness of the speciality planning. We address two research questions: 1) To what extent have the speciality plans impacted health and economic outcomes? And 2). Has the centralization of specialized health services affected the geographical inequity of health service provision and health outcomes?

Anna Kollerup Iversen

PhD-student Anna Kollerup Iversen I am PhD-student enrolled at Department of Economics, University of Copenhagen. I am part of the work package “speciality planning”. In particular, my role is to perform the econometric analyses and to disseminate our research results through journal articles and conference presentations.

Søren Rud Kristensen

Dr Søren Rud Kristensen is the work package lead for WP 3: The impact of clinical guidelines on clinical practice, health and socioeconomic outcomes. He is a Senior Lecturer in Health Economics at the Centre for Health Policy at the Institute of Global Health Innovation at Imperial College London, an Adjunct Associate Professor in Health Economics at the University of Southern Denmark and an Honorary Senior Lecturer in Health Economics at the University of Manchester. Dr Kristensen’s research takes point of departure in the economic theory of incentives and uses microeconometric analyses of large data sets to understand the design and effects of performance incentives in health care.

Nis Lydiksen

Ph.d. student Nis Lydiksen is a Ph.D student at VIVE and the University of Southern Denmark. Nis does research within health economics and effect evaluation with a focus on the interplay between health and labour marked outcomes. Nis specializes in using the Danish administrative registers for his research. Nis is involved in work package 3 of the INFORMED project. His Ph.D thesis is focused on assessing the effects of adherence to and introduction of clinical guidelines on health, socio economic outcomes and equity in access.

Behavioural Responses to Health Innovations and the Consequences for Socioeconomic Outcomes

Investigating the microfoundations of socioeconomic impact of university-industry relations