A policy case study of blood in Australia

Graves, Nicholas, Clare, Gina, Haines, Mary, & Bird, Robert (2010) A policy case study of blood in Australia. Social Science and Medicine, 71(9), pp. 1677-1682.

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In 2008 the Australian government decided to remove white blood cells from all blood products. This policy of universal leucodepletion was a change to the existing policy of supplying leucodepleted products to high risk patients only. The decision was made without strong information about the cost-effectiveness of universal leucodepletion. The aims for this policy analysis are to generate cost-effectiveness data about universal leucodepletion, and to add to our understanding of the role of evidence and the political reality of healthcare decision-making in Australia. The cost-effectiveness analysis revealed universal leucodepletion costs $398,943 to save one year of life. This exceeds the normal maximum threshold for Australia. We discuss this result within the context of how policy decisions are made about blood, and how it relates to the theory and process of policy making. We conclude that the absence of a strong voice for cost-effectiveness was an important omission in this decision.

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1 citations in Web of Science®

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ID Code: 38528
Item Type: Journal Article
Refereed: Yes
Keywords: blood, decision-making, HIV, efficiency, cost-effectiveness, Australia
DOI: 10.1016/j.socscimed.2010.07.035
ISSN: 0277-9536
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
Deposited On: 16 Nov 2010 02:26
Last Modified: 29 Feb 2012 14:20

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