The EVIDEM framework is proposed as a step beyond the current cost-effectiveness model, combining efficient HTA, pragmatic MCDA, and an ethical framework to ensure systematic consideration of all components of decisionmaking and evidence available, and to provide a transparent record of how these elements have been used to reach a decision.
Beyond scientific evidence, decisionmaking also relies on colloquial evidence [ 72].
Beyond evidence, decisionmaking requires value judgment.
With a mission "to assist and advise healthcare decisionmakers in defining health policies at all levels", [ 13] HTA acts as a bridge between evidence and decisionmaking to ensure better synthesis, communication and dissemination of information [ 14].
We developed a method of assessing the degree of alignment between Government policies and the 'evidence base', involving: reviewing theoretical frameworks; analysis of policy documents, and nineteen in-depth interviews with policymakers which explored influences on, and barriers to cross-cutting policymaking and the use of research evidence in decisionmaking.
This study also revealed that strength of evidence is an important aspect in decisionmaking, highlighting the influence of evidence-based medicine.
Summary data from observational studies was included if they reported final height, based on the assertion that considering both types of evidence better informs decisionmaking [ 38].
MCDA, HTA, and knowledge translation have a common objective: enlightened and evidence-based healthcare decisionmaking.
This paper summarizes several iterations in developing a compact set of four key principles for successful systems engineering, which are 1) Stakeholder Value-Based System Definition and Evolution 2) Incremental Commitment and Accountability 3) Concurrent Multidiscipline System Definition and Development, and 4) Evidence-Based and Risk-based Decisionmaking.
The EVIDEM framework promotes transparent and efficient healthcare decisionmaking through systematic assessment and dissemination of the evidence and values on which decisions are based.
