Economic evaluation generally limits outcome measurement to the valuation of health outcomes produced by interventions without considering the impact of processes on utility. We test for process utility by comparing utility measurements for alternative approaches to managing abnormal Pap smears...

In this paper we consider the use of mobile dental clinics as a means of improving access to dental care among primary school children in Southern Thailand by reducing the opportunity cost of service use to parents. Parents' willingness to pay (WTP) is measured for three different services...

In late 1985 the Secretary of State for Health and Social Services set up a review of the resource allocation formula created by the Resource Allocation Working Party (RAWP) in 1976. This review may be completed early in 1987 and will raise major issues about the efficiency of the NHS and...

The cost of training doctors, both in terms of expenditure on medical education and in terms of the induced demand for NHS expenditure created by having more doctors initiating care and cure, are considerable. However, the forecasting of their number and the planning of their utilisation remain...

Despite the central role of the threshold incremental cost-effectiveness ratio (ICER), or lambda ([lambda]), in the methods and application of cost-effective analysis (CEA), little attention has been given to the determining the value of [lambda]. In this paper we consider 'what explains the...

The main objective of this paper is to determine whether the distribution of hospital service utilization corresponds to the distribution of needs within Canada. This is accomplished by identifying the factors affecting the relationship between the incidence and quantity of hospital services and...

This article examines the degree to which relationships between social capital and health are embedded in local geographical contexts and influenced by demographic factors, socio-economic status, health behaviours and coping skills. Using data from a telephone survey of a random sample of adults...

The effects of regular and frequent increases in charges for health care on patient utilisation are analysed using monthly data on National Health Service (NHS) prescribed drugs in England for the period 1979-1985. Using a partial adjustment model a utilisation equation of prescribed drugs is...

The application of Sen's notion of capabilities to problems of the allocation of resources to health in the form of an extra-welfarist framework underlies the justification of quality adjusted life years (QALYs) as the method for valuing the benefits of health care. In this paper we critically...