2007
DOI: 10.1016/j.healthpol.2007.04.001
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Managing to manage healthcare resources in the English NHS? What can health economics teach? What can health economics learn?

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Cited by 48 publications
(50 citation statements)
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“…The activities of the user-group members in my study cannot be seen to represent "the public" or "patients" or even, necessarily, "users of these pilots". This is not to suggest that the roles they play are illegitimate: merely distorting influences on the "pure" cost-benefit-equity equations of commissioners-if indeed such pure trade-offs ever exist (Bate, Donaldson & Murtagh, 2007). However, what is clear is that even within this one, relatively homogeneous, "community of interest", a diversity of perspectives and inputs is apparent, and these need to be distinguished and disentangled before even attempting to reconcile them with the views of other publics.…”
Section: User Groups As a Source Of Public Involvement: The Contributmentioning
confidence: 99%
“…The activities of the user-group members in my study cannot be seen to represent "the public" or "patients" or even, necessarily, "users of these pilots". This is not to suggest that the roles they play are illegitimate: merely distorting influences on the "pure" cost-benefit-equity equations of commissioners-if indeed such pure trade-offs ever exist (Bate, Donaldson & Murtagh, 2007). However, what is clear is that even within this one, relatively homogeneous, "community of interest", a diversity of perspectives and inputs is apparent, and these need to be distinguished and disentangled before even attempting to reconcile them with the views of other publics.…”
Section: User Groups As a Source Of Public Involvement: The Contributmentioning
confidence: 99%
“…Following previous literature, the implication is that, once a budget is set for the NHS (such budget setting not being the responsibility of NICE), we can infer a threshold by observing the cost per QALY of treatments which are funded vis-à-vis those that are not. 44 Two related responses to these arguments can be made: (1) it is well known that the NHS at the local level is not systematic in how it makes such decisions, at least in economics terms; 45 and (2) because the NHS is not good at curtailing existing therapies which are poor value for money, it is not really known whether the marginal cost per QALY within the rest of the NHS is indeed out of line with (i.e. lower than) that used by NICE.…”
Section: Chaptermentioning
confidence: 99%
“…The process of contracting appeared to dominate in English PCTs rather than true commissioning during the inter view period, but there was general rec ognition by participants of the need to move away from 'historical' mechanisms ions, explicit priority setting elsewhere in the NHS appears to present ongoing challenges for decision-makers. 19 A cornerstone of effective commission ing ensures that resource provision refl ects local need. Budgets based upon historic financial allocations do not necessarily address this principle, nor do health needs assessments always ensure that health (or capacity to benefi t) is maximised.…”
Section: Summary Discussionmentioning
confidence: 99%