No Abstract

Structural and micro-economic reforms have been recommended for hospitals as part of an overall scheme of health care reform. One of the recommended reforms, clinical budgeting, is a health services adaptation of transfer pricing, which is used routinely in commercial enterprises. It involves...

The topic of this paper is whether it is possible, given the current state of knowledge and technology, to design the appropriate market structure for managed competition. The next section reviews market failure in the private health insurance market. The subsequent two sections describe the...

The Oregon Experiment is an attempt to provide universal access to health care while achieving budgetary caps on expenditure. The appeal of the experiment lies in its explicit approach to rationing health care within a framework of cost effectiveness analysis and its involvement of the community...

While there are many published economic evaluations of health care, few allow the reader to understand the practice of costing health care programmes. The aim of this document is to fill this gap. In the document, the principles of how to cost health care for economic evaluation are outlined....

The domiciliary after hours nursing service (AHNS) of the 4C program in Western Sydney is registering approximately 550 people per year. In this discussion paper, the results of an evaluation of the AHNS are reported. The service caters for clients with a variety of needs, providing emotional...

Interest in and a commitment to "outcomes" is growing. There is general agreement that "health outcomes" are a good idea but, as yet, no generally agreed concept of what health outcomes are about. This paper offers a conceptual framework for the discussion of health outcomes from the perspective...

In 1990, a study was published (Moertel CG, et al 1990) which recommended a new treatment standard for colon cancer: a 52 week course of adjuvant chemotherapy. The study recommended that such a course of chemotherapy administered after surgical resection could increase five year survival from...

Economic evaluation is a topic of increasing interest in the health sector. As resource scarcity and opportunity cost, the relevance of economic to decision makers should increase. However, those who fund and support research are becoming more concerned to make it accountable and relevant. Hence...

This study was prompted by the findings of Butler et al (1998) that the Australian contribution to the international health services research literature accounted for 5.6% in 1993-1994. First, the methodology used in that study is critically appraised, and second, to identify the extent to which...