Featured Research

from universities, journals, and other organizations

Do patient decision support interventions lead to savings? A systematic review

Date:
January 24, 2014
Source:
The Geisel School of Medicine at Dartmouth
Summary:
Publicity surrounding the implementation of patient decision support interventions traditionally focuses on two areas of improvement: helping patients make better decisions AND lowering health care spending. The use of patient decision support interventions as a means to generate health care savings has been widely advocated, but the extent and quality of evidence is unclear. A systematic review found that the evidence for savings was not as broad or deep as suspected.

Publicity surrounding the implementation of patient decision support interventions (DESIs) traditionally focuses on two areas of improvement: helping patients make better decisions AND lowering health care spending. The use of patient decision support interventions as a means to generate health care savings has been widely advocated, but the extent and quality of evidence is unclear.

Related Articles


A systematic review found that the evidence for savings was not as broad or deep as suspected. In addition, an examination of the quality of the economic analyses in the studies was performed. Not surprisingly for a young field, the quality has room for improvement. An assessment of the risk of bias in each study found a moderate to high risk across the studies that found savings.

Led by Thom Walsh, a post-doctoral fellow at the Dartmouth Center for Health Care Delivery Science, the team included Paul James Barr and Rachel Thompson, also postdoctoral fellows at the Dartmouth Center for Health Care Delivery Science, Elissa Ozanne, associate professor at the Dartmouth Institute for Health Policy & Clinical Practice, Ciaran O'Neill, professor at the School of Business and Economics, National University of Ireland, and Glyn Elwyn, professor at both the Dartmouth Center for Health Care Delivery Science and the Dartmouth Institute for Health Policy & Clinical Practice.

Their objective was to perform a detailed systematic review of a wide range of studies to assess DESIs' potential to generate savings, given a concern that premature or unrealistic expectations could jeopardize wider implementation and lead to the loss of the already proven benefits. The ethical imperative to inform patients is, in the authors' views, paramount. Although there is good evidence to show that patients tend to choose more conservative approaches when they become better informed, there is insufficient evidence, as yet, to be confident that the implementation of patient decision support interventions leads to system-wide savings.

After reviewing 1,508 citations, seven studies with eight analyses were included in the analysis. Of these seven studies, four analyses predict system-wide savings, with two analyses from the same study. The predicted savings range from US $8 to $3,068 per patient. Larger savings accompanied reductions in treatment utilization rates. The impact on utilization rates, overall though, was mixed. Authors used heterogeneous methods to allocate costs and calculate savings.

Dr. Walsh said, "Our review tells us the ability for decision support to lead to savings is still undetermined. There are many other reasons for the use of decision support. We are concerned the benefits could be lost if promises of savings are unfulfilled."


Story Source:

The above story is based on materials provided by The Geisel School of Medicine at Dartmouth. Note: Materials may be edited for content and length.


Journal Reference:

  1. T. Walsh, P. J. Barr, R. Thompson, E. Ozanne, C. O'Neill, G. Elwyn. Undetermined impact of patient decision support interventions on healthcare costs and savings: systematic review. BMJ, 2014; 348 (jan23 2): g188 DOI: 10.1136/bmj.g188

Cite This Page:

The Geisel School of Medicine at Dartmouth. "Do patient decision support interventions lead to savings? A systematic review." ScienceDaily. ScienceDaily, 24 January 2014. <www.sciencedaily.com/releases/2014/01/140124161243.htm>.
The Geisel School of Medicine at Dartmouth. (2014, January 24). Do patient decision support interventions lead to savings? A systematic review. ScienceDaily. Retrieved March 5, 2015 from www.sciencedaily.com/releases/2014/01/140124161243.htm
The Geisel School of Medicine at Dartmouth. "Do patient decision support interventions lead to savings? A systematic review." ScienceDaily. www.sciencedaily.com/releases/2014/01/140124161243.htm (accessed March 5, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Thursday, March 5, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Bupa Eyes India Healthcare Opportunities

Bupa Eyes India Healthcare Opportunities

Reuters - Business Video Online (Mar. 5, 2015) Bupa is hoping to expand in India&apos;s fast-growing health insurance market, once a rule change on foreign investment is implemented. The British private healthcare group&apos;s CEO tells Grace Pascoe why it&apos;s so keen on the new opportunity. Video provided by Reuters
Powered by NewsLook.com
Doctor in Your Pocket Is Getting Smarter

Doctor in Your Pocket Is Getting Smarter

Reuters - Business Video Online (Mar. 5, 2015) Mobile apps are turning smartphones into a personal doctors, with users able to measure heart rate, blood pressure and even blood sugar. But will it change our behaviour? Ivor Bennett reports from the Mobile World Congress in Barcelona. Video provided by Reuters
Powered by NewsLook.com
AbbVie Inks $21B Deal To Buy Cancer Drugmaker Pharmacyclics

AbbVie Inks $21B Deal To Buy Cancer Drugmaker Pharmacyclics

Newsy (Mar. 5, 2015) AbbVie announced Wednesday it will buy cancer drugmaker Pharmacyclics in a $21 billion deal. Video provided by Newsy
Powered by NewsLook.com
Toddlers Drinking Coffee? Why You Shouldn't Share Your Joe

Toddlers Drinking Coffee? Why You Shouldn't Share Your Joe

Newsy (Mar. 5, 2015) A survey of Boston mothers and toddlers found that 15 percent of two-year-olds drink coffee and 2.5 percent of 1-year-olds. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins