Beyond Efficacy and Effectiveness: Clinical Efficiency Is Necessary for Dissemination

0Citations
Citations of this article
12Readers
Mendeley users who have this article in their library.
Get full text

Abstract

Nearly all patients interact with critical gatekeepers—insurance companies or centralized healthcare systems. For mental health dissemination efforts to be successful, these gatekeepers must refer patients to evidence-based care. To make these referral decisions, they require evidence about the amount of resources expended to achieve therapeutic gains. Without this information, a bottleneck to widespread dissemination of evidence-based care will remain. To address this need for information, we introduce a new perspective, clinical efficiency. This approach directly ties resource usage to clinical outcomes. We highlight how cost-effectiveness approaches and other strategies can address clinical efficiency, and we also introduce a related new metric, the incremental time efficiency ratio (ITER). The ITER is particularly useful for quantifying the benefits of low-intensity and concentrated interventions, as well as stepped-care approaches. Given that stakeholders are increasingly requiring information on resource utilization, the ITER is a metric that can be estimated for past and future clinical trials. As a result, the ITER can allow researchers to better communicate desirable aspects of treatment, and an increased focus on clinical efficiency can improve our ability to deliver high-quality treatment to more patients in need.

Cite

CITATION STYLE

APA

De Nadai, A. S., & Etherton, J. L. (2021). Beyond Efficacy and Effectiveness: Clinical Efficiency Is Necessary for Dissemination. Journal of Cognitive Psychotherapy, 35(3), 221–231. https://doi.org/10.1891/JCPSY-D-20-00034

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free