UNDERSTANDING VARIATIONS IN RELATIVE EFFECTIVENESS: A HEALTH PRODUCTION APPROACH.
Adrian Towse, Bengt Jonsson, Clare McGrath, Anne Mason, Ruth Puig-Peiro, Jorge Mestre-Ferrandiz, Michele Pistollato, Nancy Devlin
Int J Technol Assess Health Care | Published : 2015
BACKGROUND: Relative effectiveness has become a key concern of health policy. In Europe, this is because of the need for early information to guide reimbursement and funding decisions about new medical technologies. However, ways that effectiveness (does it work?) and efficacy (can it work?) might differ across health systems are poorly understood. METHODS: This study proposes an analytical framework, drawing on production function theory, to systematically identify and quantify the determinants of relative effectiveness and sources of variation between populations and healthcare systems. We consider how methods such as stochastic frontier analysis and data envelopment analysis using a Malmq..View full abstract