A generic rapid evaluation support tool (GREST) for clinical and commissioning decisions

Jack Dowie*, Vije Rajput, Mette Kjer Kaltoft

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingArticle in proceedingsResearchpeer-review

5 Downloads (Pure)

Abstract

A fast and frugal generic tool can provide decision support to those making decisions about individual cases, particularly clinicians and clinical commissioners operating within the budget and time constraints of their practices. The multinational Generic Rapid Evaluation Support Tool (GREST) is a standard preference-sensitive Multi-Criteria Decision Analysis-based tool, but innovatory insofar as an equity criterion is introduced as one of six. Equity impact reflects the number of population QALYs lost or gained in moving from Old (current intervention) to New (contemplated intervention). In the exemplar UK implementation Claxton's NHS Willingness to Pay per QALY is the numeraire. Any weight from 0 to 100% may be assigned to the equity criterion but its presence affirms that it is persons-as-citizens who experience any opportunity harms or benefits arising from actions within the health service commons. A fully-operational but demonstration-only version is available on open access, as proof of concept and method.

Original languageEnglish
Title of host publicationMEDINFO 2019 : Health and Wellbeing e-Networks for All - Proceedings of the 17th World Congress on Medical and Health Informatics
EditorsLucila Ohno-Machado, Brigitte Seroussi
Number of pages5
PublisherIOS Press
Publication date21. Aug 2019
Pages576-580
ISBN (Electronic)9781643680026
DOIs
Publication statusPublished - 21. Aug 2019
Event17th World Congress on Medical and Health Informatics, MEDINFO 2019 - Lyon, France
Duration: 25. Aug 201930. Aug 2019

Conference

Conference17th World Congress on Medical and Health Informatics, MEDINFO 2019
CountryFrance
CityLyon
Period25/08/201930/08/2019
SeriesStudies in Health Technology and Informatics
Volume264
ISSN0926-9630

Fingerprint

Quality-Adjusted Life Years
Decision Support Techniques
Health Services
Weights and Measures
Population

Keywords

  • Clinical
  • Decision Support Systems
  • Health Equity
  • Decision Making
  • Quality-Adjusted Life Years
  • Decision Support Techniques

Cite this

Dowie, J., Rajput, V., & Kaltoft, M. K. (2019). A generic rapid evaluation support tool (GREST) for clinical and commissioning decisions. In L. Ohno-Machado, & B. Seroussi (Eds.), MEDINFO 2019: Health and Wellbeing e-Networks for All - Proceedings of the 17th World Congress on Medical and Health Informatics (pp. 576-580). IOS Press. Studies in Health Technology and Informatics, Vol.. 264 https://doi.org/10.3233/SHTI190288
Dowie, Jack ; Rajput, Vije ; Kaltoft, Mette Kjer. / A generic rapid evaluation support tool (GREST) for clinical and commissioning decisions. MEDINFO 2019: Health and Wellbeing e-Networks for All - Proceedings of the 17th World Congress on Medical and Health Informatics. editor / Lucila Ohno-Machado ; Brigitte Seroussi. IOS Press, 2019. pp. 576-580 (Studies in Health Technology and Informatics, Vol. 264).
@inproceedings{9cbdba750fba41a4ad0e37997eb6db20,
title = "A generic rapid evaluation support tool (GREST) for clinical and commissioning decisions",
abstract = "A fast and frugal generic tool can provide decision support to those making decisions about individual cases, particularly clinicians and clinical commissioners operating within the budget and time constraints of their practices. The multinational Generic Rapid Evaluation Support Tool (GREST) is a standard preference-sensitive Multi-Criteria Decision Analysis-based tool, but innovatory insofar as an equity criterion is introduced as one of six. Equity impact reflects the number of population QALYs lost or gained in moving from Old (current intervention) to New (contemplated intervention). In the exemplar UK implementation Claxton's NHS Willingness to Pay per QALY is the numeraire. Any weight from 0 to 100{\%} may be assigned to the equity criterion but its presence affirms that it is persons-as-citizens who experience any opportunity harms or benefits arising from actions within the health service commons. A fully-operational but demonstration-only version is available on open access, as proof of concept and method.",
keywords = "Clinical, Decision Support Systems, Health Equity, Decision Making, Quality-Adjusted Life Years, Decision Support Techniques",
author = "Jack Dowie and Vije Rajput and Kaltoft, {Mette Kjer}",
year = "2019",
month = "8",
day = "21",
doi = "10.3233/SHTI190288",
language = "English",
pages = "576--580",
editor = "Lucila Ohno-Machado and Brigitte Seroussi",
booktitle = "MEDINFO 2019",
publisher = "IOS Press",

}

Dowie, J, Rajput, V & Kaltoft, MK 2019, A generic rapid evaluation support tool (GREST) for clinical and commissioning decisions. in L Ohno-Machado & B Seroussi (eds), MEDINFO 2019: Health and Wellbeing e-Networks for All - Proceedings of the 17th World Congress on Medical and Health Informatics. IOS Press, Studies in Health Technology and Informatics, vol. 264, pp. 576-580, 17th World Congress on Medical and Health Informatics, MEDINFO 2019, Lyon, France, 25/08/2019. https://doi.org/10.3233/SHTI190288

A generic rapid evaluation support tool (GREST) for clinical and commissioning decisions. / Dowie, Jack; Rajput, Vije; Kaltoft, Mette Kjer.

MEDINFO 2019: Health and Wellbeing e-Networks for All - Proceedings of the 17th World Congress on Medical and Health Informatics. ed. / Lucila Ohno-Machado; Brigitte Seroussi. IOS Press, 2019. p. 576-580 (Studies in Health Technology and Informatics, Vol. 264).

Research output: Chapter in Book/Report/Conference proceedingArticle in proceedingsResearchpeer-review

TY - GEN

T1 - A generic rapid evaluation support tool (GREST) for clinical and commissioning decisions

AU - Dowie, Jack

AU - Rajput, Vije

AU - Kaltoft, Mette Kjer

PY - 2019/8/21

Y1 - 2019/8/21

N2 - A fast and frugal generic tool can provide decision support to those making decisions about individual cases, particularly clinicians and clinical commissioners operating within the budget and time constraints of their practices. The multinational Generic Rapid Evaluation Support Tool (GREST) is a standard preference-sensitive Multi-Criteria Decision Analysis-based tool, but innovatory insofar as an equity criterion is introduced as one of six. Equity impact reflects the number of population QALYs lost or gained in moving from Old (current intervention) to New (contemplated intervention). In the exemplar UK implementation Claxton's NHS Willingness to Pay per QALY is the numeraire. Any weight from 0 to 100% may be assigned to the equity criterion but its presence affirms that it is persons-as-citizens who experience any opportunity harms or benefits arising from actions within the health service commons. A fully-operational but demonstration-only version is available on open access, as proof of concept and method.

AB - A fast and frugal generic tool can provide decision support to those making decisions about individual cases, particularly clinicians and clinical commissioners operating within the budget and time constraints of their practices. The multinational Generic Rapid Evaluation Support Tool (GREST) is a standard preference-sensitive Multi-Criteria Decision Analysis-based tool, but innovatory insofar as an equity criterion is introduced as one of six. Equity impact reflects the number of population QALYs lost or gained in moving from Old (current intervention) to New (contemplated intervention). In the exemplar UK implementation Claxton's NHS Willingness to Pay per QALY is the numeraire. Any weight from 0 to 100% may be assigned to the equity criterion but its presence affirms that it is persons-as-citizens who experience any opportunity harms or benefits arising from actions within the health service commons. A fully-operational but demonstration-only version is available on open access, as proof of concept and method.

KW - Clinical

KW - Decision Support Systems

KW - Health Equity

KW - Decision Making

KW - Quality-Adjusted Life Years

KW - Decision Support Techniques

U2 - 10.3233/SHTI190288

DO - 10.3233/SHTI190288

M3 - Article in proceedings

SP - 576

EP - 580

BT - MEDINFO 2019

A2 - Ohno-Machado, Lucila

A2 - Seroussi, Brigitte

PB - IOS Press

ER -

Dowie J, Rajput V, Kaltoft MK. A generic rapid evaluation support tool (GREST) for clinical and commissioning decisions. In Ohno-Machado L, Seroussi B, editors, MEDINFO 2019: Health and Wellbeing e-Networks for All - Proceedings of the 17th World Congress on Medical and Health Informatics. IOS Press. 2019. p. 576-580. (Studies in Health Technology and Informatics, Vol. 264). https://doi.org/10.3233/SHTI190288