Journal article

Local health care expenditure plans and their opportunity costs.

Sarah Karlsberg Schaffer, Jon Sussex, Nancy Devlin, Andrew Walker

Health Policy | Published : 2015

Abstract

BACKGROUND: In the UK, approval decisions by Health Technology Assessment bodies are made using a cost per quality-adjusted life year (QALY) threshold, the value of which is based on little empirical evidence. We test the feasibility of estimating the "true" value of the threshold in NHS Scotland using information on marginal services (those planned to receive significant (dis)investment). We also explore how the NHS makes spending decisions and the role of cost per QALY evidence in this process. DATA AND METHODS: We identify marginal services using NHS Board-level responses to the 2012/13 Budget Scrutiny issued by the Scottish Government, supplemented with information on prioritisation proc..

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