Opportunity costs and local health service spending decisions: a qualitative study from Wales
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- 作者：Sarah Karlsberg Schaffer ; Jon Sussex ; Dyfrig Hughes…
- 关键词：Opportunity cost ; Priority setting ; Cost ; effectiveness ; Health technology assessment ; National Health Service ; All Wales Medicines Strategy Group ; National Institute for Health and Care Excellence
- 刊名：BMC Health Services Research
- 出版年：2016
- 出版时间：December 2016
- 年：2016
- 卷：16
- 期：1
- 全文大小：654 KB
- 刊物主题：Public Health; Health Administration; Health Informatics; Nursing Management/Nursing Research;
- 出版者：BioMed Central
- ISSN：1472-6963
文摘
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.