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Resource allocation in orthopaedics: Economic evaluation to priority setting

Lookup NU author(s): Dr Angela Bate, Professor Cam Donaldson


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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. Level of Evidence: Level V, economic and decision analyses. See Guidelines for Authors for a complete description of levels of evidence. © 2007 Lippincott Williams & Wilkins, Inc.

Publication metadata

Author(s): Bate A, Donaldson C, Ray H

Publication type: Article

Publication status: Published

Journal: Clinical Orthopaedics and Related Research

Year: 2007

Issue: 457

Pages: 49-56

Print publication date: 01/04/2007

ISSN (print): 0009-921X

ISSN (electronic): 1528-1132

Publisher: Springer


DOI: 10.1097/BLO.0b013e31803427b9

PubMed id: 17290157


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