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Visualising value for money in public health interventions

Leigh-Hunt, Nicholas, Cooper, Duncan, Furber, Andrew, Bevan, Gwyn ORCID: 0000-0003-2123-3770 and Gray, Muir (2018) Visualising value for money in public health interventions. Journal of Public Health, 40 (3). e405-e412. ISSN 1741-3842

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Identification Number: 10.1093/pubmed/fdx185


Background: The Socio-Technical Allocation of Resources (STAR) has been developed for value for money analysis of health services through stakeholder workshops. This paper reports on its application for prioritisation of interventions within public health programmes. Methods: The STAR tool was used by identifying costs and service activity for interventions within commissioned public health programmes, with benefits estimated from the literature on economic evaluations in terms of costs per Quality-Adjusted Life Years (QALYs); consensus on how these QALY values applied to local services was obtained with local commissioners. Results: Local cost-effectiveness estimates could be made for some interventions. Methodological issues arose from gaps in the evidence base for other interventions, inability to closely match some performance monitoring data with interventions, and disparate time horizons of published QALY data. Practical adjustment for these issues included using population prevalences and utility states where intervention specific evidence was lacking, and subdivision of large contracts into specific intervention costs using staffing ratios. The STAR approach proved useful in informing commissioning decisions and understanding the relative value of local public health interventions Conclusions:. Further work is needed to improve robustness of the process and develop a visualisation tool for use by public health departments

Item Type: Article
Official URL:
Additional Information: © 2018 The Authors
Divisions: Management
Subjects: H Social Sciences > HD Industries. Land use. Labor > HD28 Management. Industrial Management
H Social Sciences > HJ Public Finance
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Date Deposited: 16 Jan 2018 17:19
Last Modified: 15 May 2024 23:12

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