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12 - Concluding Chapter

Published online by Cambridge University Press:  14 July 2022

Mark Pauly
Affiliation:
University of Pennsylvania
Flaura Winston
Affiliation:
Children's Hospital of Philadelphia
Mary Naylor
Affiliation:
University of Pennsylvania School of Nursing
Kevin Volpp
Affiliation:
University of Pennsylvania Health System
Lawton Robert Burns
Affiliation:
University of Pennsylvania
Ralph Muller
Affiliation:
University of Pennsylvania Health System
David Asch
Affiliation:
University of Pennsylvania School of Medicine
Rachel Werner
Affiliation:
University of Pennsylvania School of Medicine
Bimal Desai
Affiliation:
University of Pennsylvania School of Medicine
Krisda Chaiyachati
Affiliation:
University of Pennsylvania School of Medicine
Benjamin Chartock
Affiliation:
Wharton School, University of Pennsylvania
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Summary

In this book we have provided information on how evidence is used or ignored in decisions about innovations by leaders of health systems and health insurers and by public health policymakers. This “evidence on evidence” – information about the use of evidence on nonclinical interventions – is voluminous, but with many gaps. Sometimes the evidence is encouraging about effective interventions, but often it is discouraging with nothing new found, and it is always suggestive but certainly not conclusive on processes, methods, rules, and policy interventions that might lead to health care improvement from the status quo. We are honest about this ambiguity because this study of evidence revealed the lack of rigor in health care managers’ decision-making – but it also revealed some unavoidable costs and delays of seeking perfect evidence. The book, then, is not only a wake-up call, but also a call to action toward a culture of change in how health care and health insurance leadership deal with the science that supports innovation.

Type
Chapter
Information
Seemed Like a Good Idea
Alchemy versus Evidence-Based Approaches to Healthcare Management Innovation
, pp. 398 - 408
Publisher: Cambridge University Press
Print publication year: 2022

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