Visualising value for money in public health interventions

Nicholas Leigh-Hunt, Duncan Cooper, Andrew Furber, Gwyn Bevan and Muir Gray

LSE Research Online Documents on Economics from London School of Economics and Political Science, LSE Library

Abstract: Background: The Socio-Technical Allocation of Resources (STAR) has been developed for value for money analysis of health services through stakeholder workshops. This paper reports on its application for prioritisation of interventions within public health programmes. Methods: The STAR tool was used by identifying costs and service activity for interventions within commissioned public health programmes, with benefits estimated from the literature on economic evaluations in terms of costs per Quality-Adjusted Life Years (QALYs); consensus on how these QALY values applied to local services was obtained with local commissioners. Results: Local cost-effectiveness estimates could be made for some interventions. Methodological issues arose from gaps in the evidence base for other interventions, inability to closely match some performance monitoring data with interventions, and disparate time horizons of published QALY data. Practical adjustment for these issues included using population prevalences and utility states where intervention specific evidence was lacking, and subdivision of large contracts into specific intervention costs using staffing ratios. The STAR approach proved useful in informing commissioning decisions and understanding the relative value of local public health interventions Conclusions:. Further work is needed to improve robustness of the process and develop a visualisation tool for use by public health departments

Keywords: Prioritisation; Cost-effectiveness; Public; health; Commissioning; Resource; allocation (search for similar items in EconPapers)
JEL-codes: E6 J50 (search for similar items in EconPapers)
Date: 2018-09-01
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

Published in Journal of Public Health, 1, September, 2018, 40(3), pp. e405-e412. ISSN: 1741-3842

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Persistent link: https://EconPapers.repec.org/RePEc:ehl:lserod:86467

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