Empirically Evaluating the Impact of Adjudicative Tribunals in the Health Sector: Context, Challenges and Opportunities

Health Economics, Policy and Law (2012), 7: pp 147-174

28 Pages Posted: 13 Dec 2015

See all articles by Steven Hoffman

Steven Hoffman

York University; Harvard University

Lorne Sossin

York University - Osgoode Hall Law School

Date Written: 2012

Abstract

Adjudicative tribunals are an integral part of health system governance, yet their real-world impact remains largely unknown. Most assessments focus on internal accountability and use anecdotal methodologies; few, studies if any, empirically evaluate their external impact and use these data to test effectiveness, track performance, inform service improvements and ultimately strengthen health systems. Given that such assessments would yield important benefits and have been conducted successfully in similar settings (e.g. specialist courts), their absence is likely attributable to complexity in the health system, methodological difficulties and the legal environment within which tribunals operate. We suggest practical steps for potential evaluators to conduct empirical impact evaluations along with an evaluation matrix template featuring possible target outcomes and corresponding surrogate endpoints, performance indicators and empirical methodologies. Several system-level strategies for supporting such assessments have also been suggested for academics, health system institutions, health planners and research funders. Action is necessary to ensure that policymakers do not continue operating without evidence but can rather pursue data-driven strategies that are more likely to achieve their health system goals in a cost-effective way.

Keywords: adjudicative, tribunals, empircal, health, system, governance, practical, indicators, performance, system-level, policy, data-driven, specialist, courts

Suggested Citation

Hoffman, Steven and Sossin, Lorne, Empirically Evaluating the Impact of Adjudicative Tribunals in the Health Sector: Context, Challenges and Opportunities (2012). Health Economics, Policy and Law (2012), 7: pp 147-174. Available at SSRN: https://ssrn.com/abstract=2702533

Steven Hoffman (Contact Author)

York University ( email )

Global Strategy Lab
4700 Keele Street
Toronto, Ontario M3J 1P3
Canada
+1-416-736-2100 ext 33364 (Phone)

HOME PAGE: http://www.globalstrategylab.org/people/steven-hoffman

Harvard University ( email )

Department of Global Health & Population
665 Huntington Avenue, Building 1, Room 1104
Boston, MA 02115
United States

HOME PAGE: http://www.hsph.harvard.edu/steven-hoffman/

Lorne Sossin

York University - Osgoode Hall Law School ( email )

4700 Keele Street
Toronto, Ontario M3J 1P3
Canada

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