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Related Experiment Videos

Evaluating innovation in general practice: a pragmatic framework using programme budgeting and marginal analysis

A Scott1, N Currie, C Donaldson

  • 1Health Economics Research Unit, Department of Public Health, University of Aberdeen, Foresterhill, UK.

Family Practice
|August 7, 1998
PubMed
Summary
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Programme budgeting and marginal analysis (PBMA) can evaluate primary care innovations. A diabetes clinic example showed potential annual savings of £2,000-£16,000 per practice.

Area of Science:

  • Health services research
  • Primary care management
  • Economic evaluation in healthcare

Background:

  • UK primary care is rapidly innovating service delivery.
  • Limited data exists on the costs and benefits of these primary care innovations.

Purpose of the Study:

  • To demonstrate Programme Budgeting and Marginal Analysis (PBMA) as a framework for evaluating primary care innovations.
  • To assess resource use and patient benefits from introducing a practice-based diabetes clinic.

Main Methods:

  • Utilized Programme Budgeting and Marginal Analysis (PBMA), a pragmatic economic evaluation method.
  • Combined practice-specific data from a 'before' period with literature data to model the 'after' period.

Main Results:

Related Experiment Videos

  • In 1995/6, diabetes care cost £145,813 (634 per patient) in two practices, primarily on out-patient visits (62%) and prescribing (28%).
  • A nurse-run diabetes clinic could yield similar health outcomes and improved patient access.
  • Potential annual savings per practice ranged from £2,000 to £16,000, contingent on resource use assumptions and prior study findings.

Conclusions:

  • Programme Budgeting and Marginal Analysis (PBMA) provides a valuable framework for primary care practices.
  • PBMA supports accountability and evidence-based decision-making for service innovations in primary care.