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2020 ; 9
(1
): 19
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Evaluating the consequences of health policy decisions
#MMPMID32354343
Nimptsch U
Isr J Health Policy Res
2020[Apr]; 9
(1
): 19
PMID32354343
show ga
Uncertainty about intended and possible unintended side effects makes it
important to evaluate changes following health policy decisions. A recent IJHPR
article by Greenberg et al. evaluated changes in emergency department care
following a directive of the Israeli Ministry of Health to limit occupancy in
internal medicine wards. Over a six-year observation period, they found that
one-month mortality and one-week readmissions after ED visits remained unchanged,
while increases in average ED visit length, as well as increased delay time from
ED admission to ward were observed. These findings help to assess the impact of
the occupancy limit directive and may support future health policy
decisions.However, the study by Greenberg et al. was limited by the
unavailability of diagnostic data, and this illustrates a significant issue that
transcends this particular study. In many countries, policy-relevant
administrative data are not sufficiently available on a timely basis. Data
availability is the prerequisite for monitoring developments in patterns of care
following health policy changes. Besides conducting retrospective studies, timely
availability of data makes it possible to establish monitoring systems which may
help decision makers assess the impact of policy changes, identify undesired
developments early, and recognize changes in need or demand of health services
within the population.