摘要: Recognition that resources are limited has led to a growing concern for efficiency in the provision of health care UK, which been heightened with advent recent NHS reforms. Purchasing agencies, such as fundholding general practitioners, and providers, hospital trusts, now expected take on more traditional economic roles consumers producers, responding market mechanisms improving, process, delivery [48]. Clinton’s reform plan US takes parallel position, whereby it is proposed large groups American employers act purchasing agencies who will negotiate insurers. They, turn, doctors find high quality at lowest cost [42]. It should not be surprising, therefore, learn demand skills grown alongside these changes. One most important sets economists can offer this context appraisal techniques. These help decision makers (both purchasers providers) address three particular questions: programmes worthwhile undertaking, whether alternative configurations programmes, other than existing ones, result better value money how organised so scarce needlessly wasted.