Economic evaluation of changes to the organisation and delivery of health services : methods and applications
Year: 2017
Type: dissertation
Abstract: New health technologies seeking National Health Service funding in England are subject to rigorous evaluation of cost-effectiveness using established economic evaluation methods.Changes to the organisation and delivery of health services, including changes to health policy, are funded from the same budget as these health technologies, yet undergo no such mandatory costeffectiveness assessment.This has resulted in a lack of methodological development and evidence on the cost-effectiveness of large-scale changes to the organisation and delivery of health services.This thesis aims to contribute to the development of methods for the economic evaluation of changes to the organisation and delivery of health services.This aim is achieved through the consideration of two recent, high-profile examples: a regional pay-for-performance programme, and a national initiative to extend emergency hospital services at weekends.Methods for both ex-ante and ex-post evaluation are developed and applied.The literature pertaining to the economic evaluation of the two example programmes examined is reviewed and critiqued.Estimates of the costs and benefits associated with the two programmes are provided.
Author: Rachel Meacock
Language: English
Subfield: Economics and Econometrics
Domain: Social Sciences
Open Access status: green
OpenAlex ID: W2978887934