Economics of Health Care Systems

Barnsley, P., Towse, A., Karlsberg Schaffer, S. and Sussex, J

Occasional Paper
December 2013

This paper counters the recently-published recommendation by Claxton et al[1] that NICE should lower its cost-per-QALY threshold from the current £20,000–£30,000 official range to £12,936.

Towse, A., Garrison, L. and Puig-Peiro, R.

Occasional Paper
February 2012

Interest is growing in schemes that involve “paying for pills by results”, that is, “paying for performance” rather than merely “paying for pills”.  Despite its intuitive appeal, this approach is highly controversial and is disliked by many health care providers, policy makers, and pharmaceutical companies.

Sharma, P. and Towse, A.

Occasional Paper
October 2010

Antimicrobial resistance (AMR) to drugs, a natural and unavoidable consequence of treating infectious diseases, is a growing global public health threat. The EU Commission is to develop comprehensive proposals by the end of 2012 for addressing the situation. This Paper is meant to provide input into those policy discussions.

The paper reviews AMR’s implications for the burden of disease, the causes of AMR, the current state of the antibiotic development pipeline and the reasons antibiotic R&D has been de-emphasised by biopharmaceutical companies.

Devlin, N. and Appleby, J.

Monograph
March 2010

In 2009, the English NHS began collecting patient-reported outcome measures (PROMs) for four elective procedures. Using a series of structured questions that ask patients about their health from their point of view, PROMs are intended to enable the patient perspective to inform decision-making at all levels of the NHS.

For Schools
January 2007

For over a decade, the OHE website included a popular interactive e-source, The Economics of Health Care, focusing on the UK and aimed at post-16 students of economic courses. Because the details of how the NHS is organised have changed considerably, we have moved this material to the archive. We continue to make them available because the basic concepts of health economics and the types of issues the NHS faces have not changed.

Sussex, J. and Street, A. eds.

Monograph
October 2004

The material in this book is drawn from presentations and discussions at the conference "New Financial Flows for NHS Hospitals – Introducing Payment by Results in England: Some Lessons from Overseas" held at The Commonwealth Club, London, on 31st March 2004.

The conference was jointly organised by the Office of Health Economics and the University of York Centre for Health Economics.

Appleby, J. Devlin, N. and Dawson, D.

Monograph
July 2004

Prior to the 2002 Spending Review Derek Wanless was asked by the Chancellor of The Exchequer to assess the ‘financial and other resources required to ensure that the NHS can provide a publicly funded, comprehensive, high quality service on the basis of clinical need and not ability to pay.’ The resultant report on the future course of NHS spending was immensely important.

Robinson, R., Patel, D. and Pennycate, R.

Monograph
June 2004

Looked at overall, dental care represents a fascinating mix of the public and private spheres. It has a strong component that many people argue can be left to individual responsibility, private funding and market processes. But it also has a strong public dimension. How these areas are delineated, and how they are both catered for within the overall dental sector, poses some complex challenges. Analysing the nature of these challenges and pointing to ways in which they can be met is the purpose of this report.

Seshamani, M.

Monograph
June 2004

The past few decades have seen an accelerating increase in the numbers and proportion of older people in the populations of many countries.

Population ageing will have a profound impact on the societies, politics, and economies of countries. In particular, ageing is associated with alterations in private and public expenditure patterns, due to differing needs and preferences of older versus younger consumers.

Mason, A.R. and Street, A.

Monograph
February 2004

Since the mid-1980s, the publication of hospital outcomes data has become increasingly popular. Canada and the US operate performance reporting systems, with similar initiatives planned in Australia and New Zealand (Mannion and Davies, 2002). In Europe, outcomes data are collected and published in the UK, Italy, Scandinavia and the Netherlands (Marshall and Brook, 2002).

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