The aim of this paper is to discuss the use of Bayesian methods in cost-effectiveness analysis (CEA) and the common ground between Bayesian and traditional frequentist approaches. A further aim is to explore the use of the net benefit statistic and its advantages over the incremental...

While the development of modem medicine is associated with both increases in scientific knowledge and. improved outcomes in health care it is also associated with increased uncertainty as expert and lay knowledge bases have diverged and separated. The development of a principal-agent...

The principal object of the study, set out in Dr. Dejardin's model report of 1st February 1979. is to quantify the factors influEmcing the annual growth in public expenditure between 1970 and 1976 on the following services: general medical care. specialist medical care (excluding in-patient...

BackgroundThe reasoning behind evaluating medical interventions is that a hierarchy of methods exists which successively produce improved and therefore more rigorous evidence based medicine upon which to make clinical decisions. At the foundation of this hierarchy are case studies, retrospective...

Is there an economic rationale for pronatalist policies? We propose and analyze a particular market failure that leads to inefficiently low fertility in equilibrium. The friction is caused by the lack of ownership of children: if parents have no claim on their children’s income, the private...

This paper addresses a key issue in the health OR literature, namely the apparent failure of OR modelling to become embedded and widely implemented within healthcare organizations. The research presented here is a case study to evaluate the adoption of one particular simulation modelling tool,...

Objectives: If the negligence of an employer results in the disability in an employee, the employer is responsible, in whole or in part, for the disability. The employer is wholly responsible when the worker would not have developed the disability if the employer had taken all reasonable...

This paper explores the early implementation of an organizational innovation in the UK National Health Service (NHS) – Treatment Centres (TCs) – designed to dramatically reduce waiting lists for elective care. The paper draws on case studies of 8 TCs (each at varying stages of their...

ObjectivesThe objectives of the study were to:1) look at the processes and outcomes of identification and prioritisation in both national and regional R&D programmes in health and elsewhere, drawing on experiences of success and failure2)identify the barriers to, and facilitators of, meaningful...

Neue Formen der Vergütung in der Psychiatrie, die an die einzelne Maßnahme gekoppelt sind, werden zweifellos eine größere Rolle in den psychiatrischen Versorgungssystemen in ganz Europa spielen. Diese könnten möglicherweise effizienter sein und die Wahlmöglichkeiten verbessern, jedoch...