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  1. Economic evaluation under managed competition : Evidence from the U.K.

    Article - En anglais

    Although economic evaluation in health care has a long-standing tradition in the United Kingdom, very little is known about its impact on decision making, particularly following the introduction of the internal market.

    Since managed competition appears to be growing in popularity worldwide, the U.K. is an interesting case study, as the reforms are well underway and there have been a number of efforts to conduct and disseminate economic evaluations.

    In this paper the potential for using economic evaluation in health care decision making in the U.K. is discussed.

    Then its actual impact is assessed in two ways.

    First, two case studies are discussed, on heart transplantation and the use of pharmaceuticals in the management of labour in pregnancy.

    Second, new data from a recent survey of potential users of economic evaluations are presented, with the emphasis on exploring the reasons for the impact, or lack of impact, of economic results.

    It is concluded that the NHS reforms increase the potential for the use of economic evaluation.

    However, there is a need to increase decision makers'awareness of economic studies and to help them interpret study methodology and results. (...)

    Mots-clés Pascal : Analyse économique, Prise décision, Politique sanitaire, Transplantation, Coeur, Accouchement, Médicament, Analyse coût efficacité, Homme, Economie santé, Royaume Uni, Europe, Appareil circulatoire, Gestation

    Mots-clés Pascal anglais : Economic analysis, Decision making, Health policy, Transplantation, Heart, Delivery, Drug, Cost efficiency analysis, Human, Health economy, United Kingdom, Europe, Circulatory system, Pregnancy

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

    Cote : 97-0432496

    Code Inist : 002B30A01C. Création : 19/12/1997.