TY - JOUR
T1 - Resource allocation in orthopaedics
T2 - economic evaluation to priority setting
AU - Bate, Angela
AU - Donaldson, Cam
AU - Ray, Helen
PY - 2007/4
Y1 - 2007/4
N2 - In 2000 the World Health Organization launched the "Bone and Joint Decade" campaign in part to promote cost-effective treatments. This will impact the organization, delivery, and funding of health care as the population ages. However, it is well recognized that resources in health care are limited and it is essential the resources available are used to best effect. Thus, there has been greater emphasis in the orthopaedic literature on the use of economics. Still, there is little discussion of whether and how the results of these economic methods can be further used to aid resource allocation decisions. We discuss the suitability of economic methods for priority setting in orthopaedic surgery, arguing economic evaluation alone is not sufficient for addressing resource allocation decisions. We also describe an alternative approach to priority setting that has been steadily gaining prominence within health economics--program budgeting and marginal analysis--and use a working example from the United Kingdom National Health Service to illustrate its application within orthopaedic surgery.
AB - In 2000 the World Health Organization launched the "Bone and Joint Decade" campaign in part to promote cost-effective treatments. This will impact the organization, delivery, and funding of health care as the population ages. However, it is well recognized that resources in health care are limited and it is essential the resources available are used to best effect. Thus, there has been greater emphasis in the orthopaedic literature on the use of economics. Still, there is little discussion of whether and how the results of these economic methods can be further used to aid resource allocation decisions. We discuss the suitability of economic methods for priority setting in orthopaedic surgery, arguing economic evaluation alone is not sufficient for addressing resource allocation decisions. We also describe an alternative approach to priority setting that has been steadily gaining prominence within health economics--program budgeting and marginal analysis--and use a working example from the United Kingdom National Health Service to illustrate its application within orthopaedic surgery.
KW - Budgets
KW - Costs and Cost Analysis
KW - Health Care Rationing
KW - Health Priorities
KW - Humans
KW - Orthopedics
KW - Journal Article
KW - Research Support, Non-U.S. Gov't
U2 - 10.1097/BLO.0b013e31803427b9
DO - 10.1097/BLO.0b013e31803427b9
M3 - Article
C2 - 17290157
VL - 457
SP - 49
EP - 56
JO - Clinical Orthopaedics and Related Research
JF - Clinical Orthopaedics and Related Research
SN - 0009-921X
ER -