Why Do Health Economists Promote Technology Adoption Rather Than the Search for Efficiency? A Proposal for a Change in Our Approach to Economic Evaluation in Health Care
Graham Scotland and
Stirling Bryan
Medical Decision Making, 2017, vol. 37, issue 2, 139-147
Abstract:
At a time of intense pressure on health care budgets, the technology management challenge is for disinvestment in low-value technologies and reinvestment in higher value alternatives. The aim of this article is to explore ways in which health economists might begin to redress the observed imbalance between the evaluation of new and existing in-use technologies. The argument is not against evaluating new technologies but in favor of the “search for efficiency,†where the ultimate objective is to identify reallocations that improve population health in the face of resource scarcity. We explore why in-use technologies may be of low value and consider how economic evaluation analysts might embrace a broader efficiency lens, first through “technology management†(a process of analysis and evidence-informed decision making throughout a technology’s life cycle) and progressing through “pathway management†(the search for efficiency gains across entire clinical care pathways). A number of model-based examples are used to illustrate the approaches.
Keywords: health economics methods; decision analysis; economic evaluation; cost-effectiveness analysis (search for similar items in EconPapers)
Date: 2017
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)
Downloads: (external link)
https://journals.sagepub.com/doi/10.1177/0272989X16653397 (text/html)
Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.
Export reference: BibTeX
RIS (EndNote, ProCite, RefMan)
HTML/Text
Persistent link: https://EconPapers.repec.org/RePEc:sae:medema:v:37:y:2017:i:2:p:139-147
DOI: 10.1177/0272989X16653397
Access Statistics for this article
More articles in Medical Decision Making
Bibliographic data for series maintained by SAGE Publications ().