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

Pippa Anderson, Philip Webb and Sam Groves

Health Policy, 2017, vol. 121, issue 9, 978-985

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.

Keywords: Prioritisation; Resource allocation; Disinvestment; Highly specialised technologies; MCDA (search for similar items in EconPapers)
Date: 2017
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Citations: View citations in EconPapers (2)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:hepoli:v:121:y:2017:i:9:p:978-985

DOI: 10.1016/j.healthpol.2017.06.007

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