Opportunity costs and local health service spending decisions: a qualitative study from Wales.
Sarah Karlsberg Schaffer, Jon Sussex, Dyfrig Hughes, Nancy Devlin
BMC Health Services Research | BioMed Central | Published : 2016
BACKGROUND: All health care systems face the need to find the resources to meet new demands such as a new, cost-increasing health technology. In England and Wales, when a health technology is recommended by the National Institute for Health and Care Excellence (NICE), the National Health Service (NHS) is mandated to provide the funding to accommodate it within three months of publication of the recommendation. Identifying what, in practice, is foregone when new cost-increasing technologies are introduced is important for understanding the effects of health technology assessment (HTA) decisions on the NHS or any other health care system. Our objective was to investigate how in practice local ..View full abstract