By Gavin H. Mooney, Elizabeth M. Russell, Roy D. Weir (auth.)
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Additional resources for Choices for Health Care
Thus, provided that the I;900 is available to implement Techniques for Evaluation 47 option H, then H is to be preferred to option G, since the marginal cost is lower in H than in G. 3. 3 Bed-sore prevention:· marginal costs Number 0/ bed sores prevented Total cost l 4 5 300 425 4 300 900 10 DifJerence in bed sores prevented 6 DifJerence in cost l Marginal cost l 125 125 600 100 The questions this raises are: other than implementing option F, is it worth (a) implementing option G to prevent one more bed sore at an additional and marginal cost of [125; or (b) is it worth implementing option H to prevent an additional 6 bed sores at a total additional cost of [600 (as compared with option F) and at a marginal cost of [100.
In fairness to those whose task it is to define need as a basis for planning programmes of care, so me programmes lend themselves more easily than others to the recognition and acceptance ofvarying degrees of need. The definition of 'high-risk' groups is common practice and relatively easy when there is reliable information about discrete variations in the probability of disease or disability. It is less easy when these probabilities are on a continuous curve and there is no obvious 'cut-ofT' point.
50000. One measure of 'benefit' which is frequently used is that of cost saving. However, in effect 'cost-saving' is a negative cost (which is of course a good thing) rat her than a benefit per se. Another frequently found measure of benefit is that of output in terms of contribution to gross national product (GNP). If an individual is ill or dies then his productive capacity may be lost. In so far as his earnings can be taken as a measure of the value of his output, then lost earnings provide an estimate oft he cost of illness (assuming the illness prevents the patient from working) or of premature death.
Choices for Health Care by Gavin H. Mooney, Elizabeth M. Russell, Roy D. Weir (auth.)