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Value for Money in Health Spending

image of Value for Money in Health Spending

Health spending continues to rise inexorably, growing faster than the economy in most OECD countries. Most of this spending comes from the public purse. Given the recent economic downturn, countries are looking for ways to improve the efficiency of health spending. This publication examines current efforts to improve health care efficiency, including tools that show promise in helping health systems provide the best care for their money, such as pay for performance, co-ordination of care, health technology assessment and clinical guidelines, pharmaceutical re-imbursement and risk-sharing agreements, and information and communication technology.

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Rational Decision Making in Resource Allocation

Patients, providers and payers have a common interest in ensuring that health care systems do not waste resources. Evidence-based medicine (EBM) and health technology assessment (HTA) can help by focusing on two simple questions: does it work, and is it worth it? This chapter explores potential efficiency gains that might be achieved by introducing more rational decision making into clinical care and looks at how clinical guidelines and health technology assessment can be used to inform these decisions. It then reviews how these functions are realised in institutions throughout the OECD.

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