Below is a selection of recent journal articles and reports which are about cost effectiveness or economic analysis in healthcare. If you are looking to answer a specific question please submit a literature search request at the link above. If you would like to be alerted when new content is available here then please sign in and select Follow. You are welcome to leave comments and suggestions below in the comments section.
Hernandez-Villafuerte, K., Zamora, B., Feng, Y., et al. Exploring variations in the opportunity cost cost-effectiveness threshold by clinica areaas: results from a feasability study in England. Office of Health Economics, March 2019. Estimating a cost-effectiveness threshold reflecting the opportunity cost of adopting a new technology in a health system is not easy. This OHE research paper provides empirical evidence on the relationship between health outcomes and health expenditures in England. Results suggest that setting a cost-effectivess criterion for NICE may not be capable of being syntehsised using scientific methods alone, but involve political judgements.
Briggs, ADM., Scarborough, P. Wolstenholme, J. (2018) Estimating comparable English healthcare costs for multiple diseases and unrelated future costs for use in health and public health economic modelling. PLoS ONE 13(5): e0197257. The methodology described allows health and public health economic modellers to estinate comparable English healthcare costs for multiple diseases. This facilitates the direct comparison of different health and public health interventions enabling better decision making.
Harris, A., Sharma, A.(2018) Estimating the future health and aged care expenditure in Australia with changes in morbidity. PLoS ONE 13(5): e0201697. Ageing will have a direct effect on the growth of health spending but is likely to be dwarfed by other demand and supply factors. A focus on greater efficiency in health production and finance is likely to be more effective in delivering high quality care than trying to restrain the damand for health and aged care among the elderly,
Pandya, A., Doran, T., Zhu, J., et al. (2018) Modelling the cost-effectiveness of pay for performance in primary care in the UK. BMC Medicine 16(1): 135, 2018 09 29. Compared to stopping the Quality Outcomes Framework (QOF) and returnign all associated incentive payments to the National Health Service, continuing the QQOF is not cost-effective. To improve population health efficiently, the UK should redesign the QOF or pursuue alternative interventions.
Timka, T., Nyce, JM., Amer-Wahlin, I. (2018) Value-based reimbursement in collectively financed healthcare requires monitoring of socioeconomic patient data to maintain equality in service provision. Journal of General Internal Medicine September 11th. Value-based purchasing is increasingly discussed in association with efforts to develop modern healthcare systems. These models are hte most recent example of models derived frmo health economics research intended to reform collectively financed healthcare. Previous examples have ranged from creation of pseudo-marjets to opening these markets for competition between publicly and privately owned enterprises. Most value-based purchasing models tend to ignore that health service provision in collectively financed settings is based on an insurance with political, social obligations attached that challenge the notion of free market and individualist premises which these models rest on. Central social issues related to healthcare in any modern complex society, such as inequality in service provision, can all too easily "disappear" in value-based reform efforts. Based on an analysis of Swedish policy development, the authors content that managemnet information systems need to be extended to allow routine monitoring of socioeconomic data when models such as value-based purchasing are introduced in collectively financed health services. The experiences from Sweden are important for health policy in Europe and other regions with collectively financed healthcare plans.