Choices for Health Care by Gavin H. Mooney, Elizabeth M. Russell, Roy D. Weir (auth.)

By Gavin H. Mooney, Elizabeth M. Russell, Roy D. Weir (auth.)

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If the objective is specified in terms ofthe type of output but not the total quantity then the ranking from cost-efTectiveness analysis will be in terms of cost per unit of output for each option; Again if the objective is stated in terms of a fixed budget to obtain some type of output then the ranking will be in terms ofthe number ofunits of output obtainable for this budget for each of the options. Bed sores: a hypothetical example Many aspects of cost-efTectiveness analysis can be exemplified by looking at the issue of bed-sore prevention.

For residents ofboth the hostels and hospital there will be a range of dependency stretching from low to high. 1. In (a) it is assumed that all the mentally handicapped in hospital are more dependent than those in hostels. In (b) it is assumed that there is some overlap of dependence and hence overlap of the two curves. 1 .. 2 Dependence Costs related to different levels 01 dependence: hostels and hospitals N ow for individuals of dependency levels up to D 1 it is cheaper to care for them in hostels than in hospital; above D 1 it is cheaper to care for them in hospital.

3(a), Dbin (b) and Ddin (d). In (c) no one would be in a hostel because the hospital benefit curve is always above the hostel benefit curve. 4. 3 (a) Dependence Hospital Hostels (d) Benefit curves and dependence: hostels and hospitals O. (b) O. Ob w ~ ~ .... :::;::r.. ::r: ~ .... ~ c;:;. 4 Y IHostels Hospital I Hospital Hostels ~ Hospital --- Hospital Hostels__ - - - Benefit , costs and dependence Dependence """ '" '" '" '" ,,- '" ~ lL 0, 0 3 0, _ _ - 71'- y I--f-"'" -~ (c) (a) ---Benefit -----Cost - (d) (b) I I 0, O.

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