Economic Aspects of Cancer Screening

作者: Jackie Brown

DOI: 10.1007/978-1-4471-3044-4_10

关键词:

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.

参考文章(50)
L.Warwick Coppleson, Barry Brown, The prevention of carcinoma of the cervix American Journal of Obstetrics and Gynecology. ,vol. 125, pp. 153- 159 ,(1976) , 10.1016/0002-9378(76)90585-8
George W. Torrance, Measurement of health state utilities for economic appraisal. Journal of Health Economics. ,vol. 5, pp. 1- 30 ,(1986) , 10.1016/0167-6296(86)90020-2
J.D Hardcastle, J Chamberlain, J Sheffield, T.W Balfour, N.C Armitage, W.M Thomas, G Pye, P.D James, S.S Amar, S.M Moss, Randomised, controlled trial of faecal occult blood screening for colorectal cancer. Results for first 107,349 subjects. The Lancet. ,vol. 333, pp. 1160- 1164 ,(1989) , 10.1016/S0140-6736(89)92750-5
Michael F Drummond, Mark J Sculpher, Karl Claxton, Greg L Stoddart, George W Torrance, Methods for the Economic Evaluation of Health Care Programmes ,(1987)
F H Schroder, Prostate cancer: to screen or not to screen? BMJ. ,vol. 306, pp. 407- 408 ,(1993) , 10.1136/BMJ.306.6875.407
Paul M. Speight, Joanna Zakrzewska, Martin C. Downer, Screening for oral cancer and precancer European Journal of Cancer. Part B: Oral Oncology. ,vol. 28, pp. 45- 48 ,(1992) , 10.1016/0964-1955(92)90012-P
Richard R. Love, Dennis G. Fryback, Steven R. Kimbrough, A cost-effectiveness analysis of screening for carcinoma of the prostate by digital examination. Medical Decision Making. ,vol. 5, pp. 263- 278 ,(1985) , 10.1177/0272989X8500500303
Michael Drummond, George Torrance, James Mason, Cost-effectiveness league tables: More harm than good? Social Science & Medicine. ,vol. 37, pp. 33- 40 ,(1993) , 10.1016/0277-9536(93)90315-U
T H Bourne, S Campbell, K M Reynolds, M I Whitehead, J Hampson, P Royston, T J Crayford, W P Collins, Screening for early familial ovarian cancer with transvaginal ultrasonography and colour blood flow imaging. BMJ. ,vol. 306, pp. 1025- 1029 ,(1993) , 10.1136/BMJ.306.6884.1025
N.M. Fraser, P.R. Clarke, Cost-effectiveness of breast cancer screening The Breast. ,vol. 1, pp. 169- 172 ,(1992) , 10.1016/0960-9776(92)90119-M