Identifying existing health care services that do not provide value for money

Adam G. Elshaug, John R Moss, Peter Littlejohns, Jonathan Karnon, Tracy L. Merlin, Janet E. Hiller

Research output: Contribution to journalArticle

91 Citations (Scopus)

Abstract

• Health systems can be improved appreciably by making them more efficient and accountable, and enhancing the quality of care, without necessarily requiring additional resources. • Australia, like other nations, cannot escape making difficult health care choices in the context of resource scarcity, and the challenge of delivering quality care, informed by best available evidence, to an ageing population with multiple comorbidities. • An opportunity exists for a cost-saving or cost-neutral agenda of reallocation of resources within the existing health budget, through reducing the use of existing health care interventions that offer little or no benefit relative to the cost of their public subsidy. This would allow reallocation of funding towards interventions that are more cost-effective, maximising health gain. • Criteria based on those developed for health technology assessment (HTA) might facilitate the systematic and transparent identification of existing, potentially ineffective practices on which to prioritise candidates for assessment as to their cost-effectiveness. • The process could be jointly funded by all relevant stakeholders but centrally administered, with HTA groups resourced to undertake identification and assessment and to liaise with clinicians, consumers and funding stakeholders.
Original languageEnglish
Pages (from-to)269-273
Number of pages5
JournalMedical Journal of Australia
Volume190
Issue number5
DOIs
Publication statusPublished - 2 Mar 2009

Keywords

  • Health services administration
  • health systems
  • Australia

Fingerprint Dive into the research topics of 'Identifying existing health care services that do not provide value for money'. Together they form a unique fingerprint.

  • Cite this