Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

When is it worth introducing a quality improvement program? A mathematical model.

Afschin Gandjour1, Karl Wilhelm Lauterbach

  • 1Institut für Gesundheitsökonomie und Klinische Epidemiologie, Universität zu Köln, Köln, Germany. afschin.gandjour@medizin.uni-koeln.de

Medical Decision Making : an International Journal of the Society for Medical Decision Making
|December 16, 2003
PubMed
Summary

Developing a model to assess quality improvement programs shows that the cost-effectiveness depends on the quality deficit size. This helps determine when interventions are economically viable, even for effective treatments.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Evaluating the impact of the EU Medical Device Regulation (MDR) on mortality and device availability in Germany.

PloS one·2026
Same author

The Price of Speed: Estimating the Impact of List Prices on Time to Availability of New Medicines in 18 European Countries.

Applied health economics and health policy·2026
Same author

Universal school-based mental health promotion in Vietnam: a critical appraisal of a health-economic evaluation.

Expert review of pharmacoeconomics & outcomes research·2026
Same author

The cost-effectiveness of inventory reserves for preventing drug shortages in Germany: a health-economic evaluation.

Scientific reports·2026
Same author

Developing shortcut algorithms for value-based pricing of pharmaceuticals.

Health economics review·2026
Same author

Concerns on methodological assumptions in the health economic evaluation of return-to-work interventions.

Expert review of pharmacoeconomics & outcomes research·2026

Area of Science:

  • Health economics
  • Quality improvement science
  • Healthcare management

Background:

  • Quality improvement programs are essential but compete for limited healthcare resources.
  • Assessing the economic viability of these programs is crucial for resource allocation.
  • Understanding the relationship between quality deficits and program costs is needed.

Purpose of the Study:

  • To develop a mathematical model linking quality deficits to the cost-effectiveness of quality improvement programs.
  • To identify the minimum quality deficit size that justifies program implementation.
  • To define quality thresholds for economic attractiveness of quality improvements.

Main Methods:

  • Mathematical modeling
  • Cost-effectiveness analysis

Related Experiment Videos

  • Economic evaluation of healthcare interventions

    • Main Results:

    • The model quantifies the minimum quality deficit required for a quality improvement program to be cost-effective.
    • It establishes a threshold beyond which quality reductions become economically unattractive.
    • An example demonstrated that implementation costs can render even favorable interventions economically unattractive.

    Conclusions:

    • A model is presented to evaluate the economic justification of quality improvement initiatives based on quality deficits.
    • The model aids in resource allocation by identifying cost-effective quality improvement thresholds.
    • Implementation costs must be factored into the economic assessment of quality improvement programs.