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  1. Prioritising elective care : a cost utility analysis of orthopaedics in the north west of England.

    Article - En anglais

    Study objective

    To produce a priority list for purchasers to use when purchasing elective care in the speciality of orthopaedics so that efficiency in health care purchasing (that is, maximising the benefit per unit of resource available for the resident population) can be achieved.

    Design

    The study used cost utility analysis in the elective speciality of orthopaedics.

    The diagnostic groups in the study were chosen on the basis of those conditions that constituted the greatest proportion of the orthopaedic waiting list, and consequently the greatest proportion of activity within the speciality.

    Costs were derived by two methods 

    The extra contractual referral tariff (ECR) and individual patient based costings.

    Outcome was assessed before surgery and again approximately six months afterwards.

    The outcome of the procedures was derived in two ways : Rosser and EuroQol indices.

    Setting

    The study took place at Wrightington hospital, a specialist orthopaedic hospital in north west England.

    Patients

    Prospective assessments were obtained from 99 patients for nine orthopaedics procedures.

    All the patients were individually interviewed on each occasion.

    Rosser and EuroQol assessments were completed for each patient by the patient and the patient's consultant before and after surgery.

    Main results

    Priority lists presenting cost utility rankings for each of the procedures were derived from the patients'and consultants'assessments.

    Conclusions

    It is feasib...

    Mots-clés Pascal : Chirurgie orthopédique, Analyse avantage coût, Economie santé, Prise décision, Priorité, Homme, Evaluation, Pronostic, Questionnaire, Qualité vie, Angleterre, Grande Bretagne, Royaume Uni, Europe

    Mots-clés Pascal anglais : Orthopedic surgery, Cost benefit analysis, Health economy, Decision making, Priority, Human, Evaluation, Prognosis, Questionnaire, Quality of life, England, Great Britain, United Kingdom, Europe

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0233482

    Code Inist : 002B30A01B. Création : 199608.