Decision makers in health care are increasingly interested in using high-quality scientific evidence to support clinical and health policy choices; however, the quality of available scientific evidence is often found to be inadequate. Reliable evidence is essential to improve health care quality and to support efficient use of limited resources. The widespread gaps in evidence-based knowledge s...

Integrated delivery networks (IDN) are meant to reduce the cost of healthcare while improving the quality of care. But each IDN has its own unique organizational structure, and the same physician may have a different level of influence over medication choices in multiple IDNs. This new landscape makes it harder than ever for pharmaceuticals providers to cost-effectively target the decision-make...

In this paper the architecture of a DSS, for the estimation of risk assessment of release of genetically modified organisms in the environment, is described. Details of the modules of the system and the methodology to be applied, for its efficient use in designing experiments and providing the appropriate information to decision makers and researchers, are also given. Sensitive legal issues and...

Public administrators have always been interested in identifying cost-effective strategies for managing their programs. As government agencies invest in data warehouses and business intelligence capabilities, it becomes feasible to employ analytic techniques used more-commonly in the private sector. Predictive analytics and rapid-cycle evaluation are analytical approaches that are used to do mo...

Our participation at meetings of the International Conference of Integrated Care and our involvement with the International Foundation for Integrated Care show that our French experience can be instructive for health and social care professionals, including geriatricians, in other countries, and also for decision-makers, managers, directors and all gerontologists interested in the complex conce...

OBJECTIVES The Secondary Prevention of Heart disEase in geneRal practicE (SPHERE) trial has recently reported. This study examines the cost-effectiveness of the SPHERE intervention in both healthcare systems on the island of Ireland. METHODS Incremental cost-effectiveness analysis. A probabilistic model was developed to combine within-trial and beyond-trial impacts of treatment to estimate th...