36 research outputs found
Systematic review of economic evaluations and cost analyses of guideline implementation strategies
Objectives To appraise the quality of economic studies undertaken as part of evaluations of guideline implementation strategies; determine their resources use; and recommend methods to improve future studies. Methods Systematic review of economic studies undertaken alongside robust study designs of clinical guideline implementation strategies published (1966-1998). Studies assessed against the BMJ economic evaluations guidelines for each stage of the guideline process (guideline development, implementation and treatment). Results 235 studies were identified, 63 reported some information on cost. Only 3 studies provided evidence that their guideline was effective and efficient. 38 reported the treatment costs only, 12 implementation and treatment costs, 11 implementation costs alone, and two guideline development, implementation and treatment costs. No study gave reasonably complete information on costs. Conclusions Very few satisfactory economic evaluations of guideline implementation strategies have been performed. Current evaluations have numerous methodological defects and rarely consider all relevant costs and benefits. Future evaluations should focus on evaluating the implementation of evidence based guidelines. Keywords: Cost-effectiveness analysis, physician (or health care professional) behaviour, practice guidelines, quality improvement, systematic review.Peer reviewedAuthor versio
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Codification vs personalisation: A study of the information evaluation practice between aerospace and construction industries
In the emerging digital economy, the management of information in aerospace and construction organisations
is facing a particular challenge due to the ever-increasing volume of information and the extensive
use of information and communication technologies (ICTs). This paper addresses the problems of information
overload and the value of information in both industries by providing some cross-disciplinary
insights. In particular it identifies major issues and challenges in the current information evaluation
practice in these two industries. Interviews were conducted to get a spectrum of industrial perspectives
(director/strategic, project management and ICT/document management) on these issues in particular
to information storage and retrieval strategies and the contrasting approaches to knowledge and information
management of personalisation and codification. Industry feedback was collected by a follow-up
workshop to strengthen the findings of the research. An information-handling agenda is outlined for the
development of a future Information Evaluation Methodology (IEM) which could facilitate the practice of
the codification of high-value information in order to support through-life knowledge and information
management (K&IM) practice