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Opportunity costs and local health service spending decisions: a qualitative study from Wales

Schaffer, S.K. and Sussex, J. and Hughes, D.A. and Devlin, N. (2016) Opportunity costs and local health service spending decisions: a qualitative study from Wales. BMC Health Services Research. (In Press)

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Abstract

Background: All health care systems face the need to find the resources to meet new demands such as a new, cost-increasing health technology. In England and Wales, when a health technology is recommended by the National Institute for Health and Care Excellence (NICE), the National Health Service (NHS) is mandated to provide the funding to accommodate it within three months of publication of the recommendation. Identifying what, in practice, is foregone when new cost-increasing technologies are introduced is important for understanding the effects of health technology assessment (HTA) decisions on the NHS or any other health care system. Our objective was to investigate how in practice local NHS commissioners in Wales accommodated financial �shocks� arising from technology appraisals (TAs) issued by NICE and from other cost pressures.

Item Type: Article
Subjects: Research Publications
Departments: College of Health and Behavioural Sciences > Institute of Medical & Social Care Research
Date Deposited: 24 Feb 2016 03:15
Last Modified: 24 Feb 2016 03:15
ISSN: 1472-6963
URI: http://e.bangor.ac.uk/id/eprint/6262
Publisher: Springer
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