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Introducing quality into cost effectiveness.

D R Cohen1

  • 1Department of Management Studies, Polytechnic of Wales, Pontypridd, Mid Glamorgan, UK.

Quality Assurance in Health Care : the Official Journal of the International Society for Quality Assurance in Health Care
|January 1, 1990
PubMed
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Introducing quality into healthcare requires careful economic analysis. Focusing on health gains and using tools like Cost-Benefit Analysis can ensure high-quality services remain efficient and valuable.

Area of Science:

  • Health Economics
  • Healthcare Management

Background:

  • Quality is a crucial aspect of healthcare delivery.
  • Integrating quality considerations necessitates a thorough understanding of healthcare's fundamental nature and objectives.

Framework:

  • Discusses the difficulties in measuring and valuing health gains.
  • Examines problems associated with incorporating a quality dimension into health gain measurement.
  • References the Quality Adjusted Life Year (QALY) as a metric for health gain.

Implementation:

  • Notes that enhanced quality of service provision typically increases cost per QALY.
  • Argues that high-quality services need not be inefficient if terminology is used carefully.
  • Employs Cost Benefit Analysis (CBA) to quantify the value of consumer satisfaction.

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Implications:

  • Suggests a need for careful analysis when integrating quality into healthcare economics.
  • Advocates for a nuanced approach using both CEA and CBA for comprehensive healthcare evaluation.
  • Underscores the importance of valuing consumer satisfaction alongside clinical outcomes in healthcare.