Hall, J 1996, 'The challenge of health outcomes', Journal of Quality in Clinical Practice, vol. 16, no. 1, pp. 5-15.
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The health outcomes initiative can be seen as another passing phase in health-care management or taken as a serious challenge to the planning, management and evaluation of health services. This paper explores those challenges. Implementation of the health outcomes initiative will require the application of valid, reliable and appropriately sensitive measures, the use of a broad approach to research, development and monitoring in such a way that it is an intrinsic part of service delivery, the adoption of policy and practice that is firmly based on evidence of outcomes, and the development of an approach to research that emphasises generalizability.
Hall, JP 1996, 'Consumer Utility, Social Welfare, And Genetic Testing - A Response To 'genetic Testing An Economic And Contractarian Analysis''', Journal Of Health Economics, vol. 15, no. 3, pp. 377-380.
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In a recent issue of this journal, Tabarrok provided an economic analysis of genetic testing (Tabarrok, 1994). As genetic research progresses, the identification of individuals at risk of particular diseases, early treatment for those affected and the avoidance of inherited genetic disorders will become more frequent. As Tabarrok states (p. 76) "this ... is accompanied by benefits and costs". His analysis then proceeds to identify the costs and benefits of genetic testing, describe the moral dilemmas and inefficiencies created by testing and propose a solution to the testing problem.The essence of his analysis is this. First, the benefits of genetic testing are improved health, which will be achieved through effective and often earlier therapy, the avoidance of additionaI risks by susceptible individuals and, through pre-pregnancy and antenatal testing, what is in effect selective breeding. Second, the cost of testing will be relatively low. Third, the individual faced with the option of testing has a small probability of a high loss as those with "'bad genes"
Richardson, J, Hall, J & Salkeld, G 1996, 'The measurement of utility in multiphase health states', International Journal of Technology Assessment in Health Care, vol. 12, no. 1, pp. 151-162.
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To examine the validity of the additive quality-adjusted life year model used to evaluate a multiphase health state, data from a pilot study of mammography were used to determine whether the values assigned to a multiphase postmastectorny health state could be estimated from a combination of the independently rated constituent health state values. The results suggest that they cannot.
Richardson, J, Hall, JP & Salkeld, G 1996, 'The Measurement Of Utility In Multiphase Health States', International Journal Of Technology Assessment In Health Care, vol. 12, no. 1, pp. 151-162.
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To examine the validity of the additive quality-adjusted life year model used to evaluate a multiphase health state, data from a pilot study of mammography were used to determine whether the values assigned to a multiphase postmastectomy health state cou
Salkeld, G, Young, G, Irwig, L, Haas, MR & Glasziou, PP 1996, 'Cost-effectiveness Analysis Of Screening By Faecal Occult Blood Testing For Colorectal Cancer In Australia', Australian And New Zealand Journal Of Public Health, vol. 20, no. 2, pp. 138-143.
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The incremental costs and effects of annual faecal occult blood test screening in Australia were modelled for a hypothetical cohort of 1000 persons offered screening or not offered screening. Incremental costs and effects were estimated as the difference
Viney, R, Haas, MR & Seymour, J 1996, 'Seeing through the smoke: Using economic evaluation to allocate health promotion resources to prevent smoking', Health Promotion Journal of Australia, vol. 6, no. 1, pp. 7-15.
Haas, MR & Hall, JP CHERE 1996, Clinical budgeting for allied health: some options and issues in a hospital setting, CHERE Discussion Paper No 30, Sydney.
Viney, RC, Jan, S & Haas, MR CHERE 1996, Delivery of less urgent ambulatory care in a hospital setting - Report the NSW Department of Health, CHERE Project Report No 2, Sydney.