The trade-off between equity and efficiency in population health gain: Making it real

2018 ◽  
Vol 212 ◽  
pp. 136-144 ◽  
Author(s):  
P. Sandiford ◽  
D. Vivas Consuelo ◽  
P. Rouse ◽  
D. Bramley
Keyword(s):  
Population Health ◽  
Health Gain ◽  
Trade Off ◽  
Equity And Efficiency

scholarly journals Public health and economics: a marriage of necessity

2012 ◽  
Vol 1 (1) ◽  
pp. 4 ◽  
Author(s):  
Alan Maynard
Keyword(s):  
Public Health ◽  
Economic Analysis ◽  
Population Health ◽  
Health Gain ◽  
Cost Effective ◽  
Limited Resources ◽  
What Works ◽  
Prevention And Cure ◽  
Effective Public Health

With resources always scarce limited resources have to be targeted at those interventions, prevention and cure, that give the greatest population health gain at least cost. Mere identification of <em>what works</em> in prevention is inadequate unless this evidence is supplemented with economic analysis that identifies what is cost effective. Public health without the use of economics is incomplete.

Commissioning Needs a Population Perspective

2020 ◽  
pp. 20-34
Author(s):  
Julie Sin
Keyword(s):  
Population Health ◽  
Health Gain ◽  
Health Issue ◽  
Evidence Based ◽  
Population Approach ◽  
Outcomes Of Care ◽  
Synergistic Relationship

This chapter looks at the synergistic relationship between the concepts of commissioning and population health gain, and some practical ways to enable this connectivity. In simple terms, commissioning refers to securing services for the population, and a whole population perspective is clearly integral to this effort. This chapter introduces four key perspectives of a population approach that can be applied to any health issue in the commissioning sphere. These are the consideration of Epidemiological context, effective Preventive opportunities, a focus on addressing Inequities in access and outcomes of care, and a whole Care pathway and System perspective. (The acronym ‘EPICS’ can be used to aid recall if needed). Application of these would be underpinned by using an evidence-based approach. Together these summary perspectives offer a quick schema to scope any health topic in practice which can be used as needed for the task in-hand. Examples are given.

Introduction

2020 ◽  
pp. 3-8
Author(s):  
Julie Sin
Keyword(s):  
Decision Making ◽  
Health Service ◽  
Health Services ◽  
Health Outcomes ◽  
Population Health ◽  
Practical Purpose ◽  
Health Gain ◽  
Real Life ◽  
Population Approach

This introductory chapter sets out the book’s practical purpose to be a useful and salient guide in the real life arena of commissioning and health services decision-making for better population health outcomes. The book is grounded in the experience of health services in England where the intention is to provide a comprehensive range of services on a whole population basis. The reader will be taken through the book using the main anchoring point of commissioning, the process of securing services for populations within finite resources. The book is structured in two parts. The first half (Part I) contains core topics to help build confidence about commissioning for health gain. It covers the purpose of commissioning, its health service context, and offers concepts that tangibly link commissioning actions with a population approach. Part II builds on that to cover more applied topics that commissioners will need to navigate in practice.

scholarly journals Efficiency, Welfare, and Political Competition *

2015 ◽  
Vol 131 (1) ◽  
pp. 461-518 ◽  
Author(s):  
Felix J. Bierbrauer ◽  
Pierre C. Boyer
Keyword(s):  
Private Information ◽  
Political Competition ◽  
Income Taxation ◽  
Symmetric Equilibrium ◽  
Public Goods Provision ◽  
Trade Off ◽  
Private Goods ◽  
Incentive Compatible ◽  
Equity And Efficiency ◽  
Pareto Efficient

Abstract We study political competition in an environment in which voters have private information about their preferences. Our framework covers models of income taxation, public-goods provision, or publicly provided private goods. Politicians are vote-share maximizers. They can propose any policy that is resource-feasible and incentive-compatible. They can also offer special favors to subsets of the electorate. We prove two main results. First, the unique symmetric equilibrium is such that policies are surplus-maximizing and hence first-best Pareto-efficient. Second, there is a surplus-maximizing policy that wins a majority against any welfare-maximizing policy. Thus, in our model, policies that trade off equity and efficiency considerations are politically infeasible.

scholarly journals Gesundes Kinzigtal Integrated Care: improving population health by a shared health gain approach and a shared savings contract

2010 ◽  
Vol 10 (2) ◽  
Author(s):  
H. Hildebrandt ◽  
C. Hermann ◽  
R. Knittel ◽  
M. Richter-Reichhelm ◽  
A. Siegel ◽  
...  
Keyword(s):  
Integrated Care ◽  
Population Health ◽  
Health Gain ◽  
Shared Savings
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