Opportunity costs and local health service spending decisions: a qualitative study from Wales

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Opportunity costs and local health service spending decisions: a qualitative study from Wales. / Schaffer, S.K.; Sussex, J.; Hughes, D. et al.
In: BMC Health Services Research, Vol. 16, No. 103, 25.03.2016.

Research output: Contribution to journalArticlepeer-review

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Schaffer SK, Sussex J, Hughes D, Devlin N. Opportunity costs and local health service spending decisions: a qualitative study from Wales. BMC Health Services Research. 2016 Mar 25;16(103). doi: 10.1186/s12913-016-1354-1

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Schaffer, S.K. ; Sussex, J. ; Hughes, D. et al. / Opportunity costs and local health service spending decisions : a qualitative study from Wales. In: BMC Health Services Research. 2016 ; Vol. 16, No. 103.

RIS

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 -