Rationing in healthcare

Martin, Elizabeth (2015) Rationing in healthcare. Deeble Institute, Canberra, A.C.T.

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Abstract

Rationing healthcare in some form is inevitable, even in wealthy countries, because resources are scarce and demand for healthcare is always likely to exceed supply. This means that decision-makers must make choices about which health programs and initiatives should receive public funding and which ones should not. These choices are often difficult to make, particularly in Australia, because:

  • 1 Make explicit rationing based on a national decision-making tool (such as Multi-criteria Decision Analysis) standard process in all jurisdictions.

  • 2 Develop nationally consistent methods for conducting economic evaluation in health so that good quality evidence on the relative efficiency of various programs and initiatives is generated.

  • 3 Generate more economic evaluation evidence to inform rationing decisions.

  • 4 Revise national health performance indicators so that they include true health system efficiency indicators, such as cost-effectiveness.

  • 5 Apply the Comprehensive Management Framework used to evaluate items on the Medicare Benefits Schedule (MBS) to the Pharmaceutical Benefits Scheme (PBS) and the Prosthesis List to accelerate disinvestment from low-value drugs and prostheses.

  • 6 Seek agreement among Commonwealth, state and territory governments to work together to undertake work similar to the National Institute for Health and Care Excellence in the United Kingdom and the Canadian Agency for Drugs and Technologies in Health.

Impact and interest:

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ID Code: 93459
Item Type: Report
Refereed: No
Subjects: Australian and New Zealand Standard Research Classification > STUDIES IN HUMAN SOCIETY (160000) > POLICY AND ADMINISTRATION (160500) > Health Policy (160508)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Facilities: Mackay Renewable Biocommodities Pilot Plant
Copyright Owner: Copyright 2015 Australian Healthcare and Hospital Association
Deposited On: 10 Mar 2016 04:48
Last Modified: 10 Mar 2016 22:15

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