health care, said Gagnon. He suggested that integrated care, supported by appropriate reimbursement and evidence, is the most appropriate enabler of value-based decision making. Continuing, he specified that decisions should be informed by the most comprehensive and up-to-date information available, including observational data where appropriate. Standards of evidence should be sensitive to the seriousness of the condition to be treated and to the relative unmet need of treatments for that condition.

REFERENCES

Congressional Budget Office. 2007. Projected financial spending in the long run. Washington, DC.

National Business Group on Health. 2007. Employees and health care decision making: Final report. Washington, DC.

Newhouse, J. P. 1992. Medical care costs: How much welfare loss? JEP 6:3-21.

Persad, G., A. Wertheimer, and E. J. Emanuel. 2009. Principles for allocation of scarce medical interventions. Lancet 373(9661):423-431.

Skinner, J., F. Elliott, and J. E. Wennberg. 2005. The efficiency of Medicare. In Analyses in the economics of aging, edited by D. Wise. Chicago, IL: University of Chicago Press and National Bureau of Economic Research. Pp. 129-157.

White House. 2009. Fiscal responsibility summit. February 23. http://www.whitehouse.gov/assets/blog/Fiscal_Responsibility_Summit_Report.pdf (accessed April 6, 2009).



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