Health economists concerned about the efficiency and equity of health care provision have focused their attention and evaluations on programmes and interventions at a population or group level. Clinicians, including those seeking to improve the quality of care by making it more evidence-based, see their task as using their clinical judgment to make the best use of the resources available to them as a result of policy decisions The existence of significant incoherence between the two (or more) levels is increasingly recognized, but clinical guidelines, the only current response, are analytically inadequate to the task of reducing it. 'Clinical Guidance Trees', on the other hand, not only have the potential to bridge the policy-clinical gap but also provide the means by which public funds can be allocated to individual patients on the basis of a societally determined willingness to pay per incremental unit of benefit. This paper aims to stimulate debate about a system in which all public funds are allocated on the basis of patient specific cost-effectiveness analyses, conducted on the basis of sociopolitically determined parameters (including equity weightings), but individualized 'quality of life' measures. The system, seeking to maximize 'equificiency', would do away with the increasingly unsustainable division between public and private sector provision and remove many expensive layers of health care decision making. While it would have many problems (including strategic behaviour various by parties), these need to be considered in the light of the problems of all alternative systems, including those of the status quo.
[1]
A. Williams,et al.
Intergenerational equity: an exploration of the 'fair innings' argument.
,
1997,
Health economics.
[2]
J Dowie,et al.
Clinical intuition and clinical analysis: expertise and the cognitive continuum
,
1988
.
[3]
D K Owens,et al.
Development of outcome-based practice guidelines: a method for structuring problems and synthesizing evidence.
,
1993,
The Joint Commission journal on quality improvement.
[4]
R. Labelle,et al.
Implications of basing health-care resource allocations on cost-utility analysis in the presence of externalities.
,
1992,
Journal of health economics.
[5]
M. Johannesson,et al.
Cost-utility analysis from a societal perspective.
,
1997,
Health policy.
[6]
P. Dolan,et al.
The nature of individual preferences: a prologue to Johannesson, Jonsson and Karlsson.
,
1997,
Health economics.
[7]
M. Johannesson,et al.
Outcome measurement in economic evaluation.
,
1996,
Health economics.
[8]
Douglas K. Owens,et al.
A Method for Estimating the Cost- Effectiveness of Incorporating Patient Preferences into Practice Guidelines
,
1994,
Medical decision making : an international journal of the Society for Medical Decision Making.
[9]
M. Sculpher.
The cost-effectiveness of preference-based treatment allocation: the case of hysterectomy versus endometrial resection in the treatment of menorrhagia.
,
1998,
Health economics.