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Related Experiment Videos

A population-based model for priority setting across the care continuum and across modalities.

Leonie Segal1, Duncan Mortimer

  • 1Centre for Health Economics, Monash University, Melbourne, Australia. leonie.segal@buseco.monash.edu.au

Cost Effectiveness and Resource Allocation : C/E
|March 29, 2006
PubMed
Summary

The Health-sector Wide (HsW) model shifts health priority setting from program budgets to target populations. This approach enhances allocative efficiency by considering all interventions for a disease, unlike fragmented methods.

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Area of Science:

  • Health economics
  • Public health policy
  • Decision science

Background:

  • Current health priority setting often relies on fragmented 'program budgets' based on disease stage or modality.
  • This fragmented approach hinders efficient resource allocation within health systems.
  • The Health-sector Wide (HsW) model offers a structured alternative.

Purpose of the Study:

  • To introduce and detail the Health-sector Wide (HsW) priority setting model.
  • To highlight the HsW model's advantages over existing fragmented approaches.
  • To demonstrate the model's utility in deriving evidence-based policy recommendations.

Main Methods:

  • The HsW model utilizes a disease/health problem framework and a sequential, comprehensive approach across the health sector.

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  • It redefines the unit of analysis to include all interventions for a specific health problem.
  • Standard cost-utility analyses are employed to maximize Quality-Adjusted Life Years (QALYs) within budget constraints, with potential modifications for value-weighting and political factors.

    • Main Results:

    • The HsW model has been successfully applied in various settings, including a recent application to osteoarthritis.
    • These applications demonstrate the model's practical feasibility.
    • The model has shown its capacity to generate clear, evidence-based policy recommendations.

    Conclusions:

    • The HsW model offers significant value addition compared to other priority setting methods like Programme Budgeting and Marginal Analysis (PBMA).
    • It is more likely to contribute to allocative efficiency in health resource allocation.
    • The model provides a robust framework for optimizing health sector investments.