Using discrete choice modelling in priority setting: an application to clinical service developments.

Limited resources for health care means that techniques are required to aid the process of priority setting. This paper represents one of the first attempts to use discrete choice modelling (DCM) within the area of priority setting. It is shown how the technique can be used to estimate cost per un...

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Publicado en:Social Science & Medicine Vol. 50; no. 1; pp. 63 - 76
Autores principales: Farrar, Shelley, Ryan, Mandy, Ross, Donald
Formato: Artículo
Publicado: Elsevier Science January 2000
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: January 2000
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        10.1016/S0277-9536(99)00268-3
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        atl: Using discrete choice modelling in priority setting: an application to clinical service developments.
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          Farrar, Shelley
          Ryan, Mandy
          Ross, Donald
      su:
        Cost effectiveness
        Mathematical models
        Resource allocation
        Decision making
        Health policy
        Medical economics
        Medical care
        Scotland
      sug:
        subj:
          Scotland
          Cost effectiveness
          Mathematical models
          Resource allocation
          Decision making
          Health policy
          Medical economics
          Medical care
      ab: Limited resources for health care means that techniques are required to aid the process of priority setting. This paper represents one of the first attempts to use discrete choice modelling (DCM) within the area of priority setting. It is shown how the technique can be used to estimate cost per unit of benefit ratios for competing clinical service developments. Integer programming is proposed as a method to be used, alongside DCM, to help policy makers select the optimal combination of clinical service developments within a given budget. The technique is also shown to be internally valid and internally consistent. It is argued that DCM is a potentially useful technique to be used within the area of priority setting more generally. However, further work is required to address methodological issues around the technique. Copyright 2000, Pergamon Press Ltd.
      pubtype: Academic Journal
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      src: R
    language: English
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