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Prioritisation of specialist health care services; not NICE, not easy but it can be done

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  • Anderson, Pippa
  • Webb, Philip
  • Groves, Sam

Abstract

The challenges of delivering healthcare within budget constraints are ever present. Highly specialised technologies (HSTs) have high costs of provision inevitably contributing to NHS cost pressures. Between 2012–2015 the Welsh Health Specialised Services Committee (WHSSC) developed prioritisation methods to make recommendations for HST funding in Wales. Methods adapted as the process continued but was always evidence based and supported by a prioritisation panel of stakeholders. Methods changed from discreet choice to the Portsmouth Score Card, a simple multi-criteria decision analysis (MCDA) method. A strength of MCDA is that the impact on a decision of relevant criteria and their relative importance is explicit. This was, later, augmented by group decision support techniques.

Suggested Citation

  • Anderson, Pippa & Webb, Philip & Groves, Sam, 2017. "Prioritisation of specialist health care services; not NICE, not easy but it can be done," Health Policy, Elsevier, vol. 121(9), pages 978-985.
    • Handle: RePEc:eee:hepoli:v:121:y:2017:i:9:p:978-985
    DOI: 10.1016/j.healthpol.2017.06.007
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    References listed on IDEAS

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    1. Sorenson, Corinna & Drummond, Michael & Bhuiyan Kahn, Beena, 2013. "Medical technology as a key driver of rising health expenditures: disentangling the relationship," LSE Research Online Documents on Economics 48043, London School of Economics and Political Science, LSE Library.
    2. Ham, Chris, 1997. "Priority setting in health care: learning from international experience," Health Policy, Elsevier, vol. 42(1), pages 49-66, October.
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    Cited by:

    1. Ahumada-Canale, Antonio & Jeet, Varinder & Bilgrami, Anam & Seil, Elizabeth & Gu, Yuanyuan & Cutler, Henry, 2023. "Barriers and facilitators to implementing priority setting and resource allocation tools in hospital decisions: A systematic review," Social Science & Medicine, Elsevier, vol. 322(C).
    2. Schoemaker, Casper G. & van Loon, Jeanne & Achterberg, Peter W. & van den Berg, Matthijs & Harbers, Maartje M. & den Hertog, Frank R.J. & Hilderink, Henk & Kommer, Geertjan & Melse, Johan & van Oers, , 2019. "The Public Health Status and Foresight report 2014: Four normative perspectives on a healthier Netherlands in 2040," Health Policy, Elsevier, vol. 123(3), pages 252-259.

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