Opportunity costs and local health service spending decisions: a qualitative study from Wales
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In: BMC Health Services Research, Vol. 16, No. 103, 25.03.2016.
Research output: Contribution to journal › Article › peer-review
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TY - JOUR
T1 - Opportunity costs and local health service spending decisions
T2 - a qualitative study from Wales
AU - Schaffer, S.K.
AU - Sussex, J.
AU - Hughes, D.
AU - Devlin, N.
PY - 2016/3/25
Y1 - 2016/3/25
N2 - Background: All health care systems face the need to find the resources to meet new demands such as a new, cost-increasing health technology. In England and Wales, when a health technology is recommended by the National Institute for Health and Care Excellence (NICE), the National Health Service (NHS) is mandated to provide the funding to accommodate it within three months of publication of the recommendation. Identifying what, in practice, is foregone when new cost-increasing technologies are introduced is important for understanding the effects of health technology assessment (HTA) decisions on the NHS or any other health care system. Our objective was to investigate how in practice local NHS commissioners in Wales accommodated financial “shocks” arising from technology appraisals (TAs) issued by NICE and from other cost pressures.
AB - Background: All health care systems face the need to find the resources to meet new demands such as a new, cost-increasing health technology. In England and Wales, when a health technology is recommended by the National Institute for Health and Care Excellence (NICE), the National Health Service (NHS) is mandated to provide the funding to accommodate it within three months of publication of the recommendation. Identifying what, in practice, is foregone when new cost-increasing technologies are introduced is important for understanding the effects of health technology assessment (HTA) decisions on the NHS or any other health care system. Our objective was to investigate how in practice local NHS commissioners in Wales accommodated financial “shocks” arising from technology appraisals (TAs) issued by NICE and from other cost pressures.
KW - Opportunity costs
KW - Priority setting
KW - Cost-effectiveness
KW - Health Technology Assessment
KW - National Health Service
KW - All Wales Medicines Strategy Group
KW - National Institute for Health and Care Excellence
U2 - 10.1186/s12913-016-1354-1
DO - 10.1186/s12913-016-1354-1
M3 - Article
C2 - 27012523
VL - 16
JO - BMC Health Services Research
JF - BMC Health Services Research
SN - 1472-6963
IS - 103
ER -