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Table 1 Proposed strategies to consider costs and the concept of value for money when caring for patients

From: Health care prioritization: a clinician’s duty

Proposed strategy Example
Continuing medical education should educate clinicians on how to incorporate cost and “value for money” in clinical practice, particularly for management of common clinical conditions Educating clinicians to promote home dialysis options, given the cost savings and equal or better outcomes for patients that are eligible
Emphasize that considering treatment costs is particularly important in the face of clinical uncertainty Routine management of abnormalities of mineral metabolism with expensive medications with an incomplete evidence base such as non-calcium based phosphate binders and cinacalcet
Consider the impact on health care costs when developing clinical practice guidelines During the development of the timing of dialysis initiation guidelines by the Canadian Society of Nephrology [7], resource use was incorporated as a secondary outcome
Ensure that clinician leaders are engaged when developing local health policies that incorporate costs within renal programs Developing clinical practice guidelines to increase the use of home therapies
Support knowledge dissemination activities related to existing clinical practice guidelines