Mathematical programming for the efficient allocation of health care resources
Previous discussions of methods for the efficient allocation of health care resources subject to a budget constraint have relied on unnecessarily restrictive assumptions. This paper makes use of established optimization techniques to demonstrate that a general mathematical programming framework can...
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Published in | Journal of health economics Vol. 15; no. 5; pp. 641 - 653 |
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Main Authors | , |
Format | Journal Article |
Language | English |
Published |
Netherlands
Elsevier B.V
01.10.1996
Elsevier Elsevier Sequoia S.A |
Series | Journal of Health Economics |
Subjects | |
Online Access | Get full text |
ISSN | 0167-6296 1879-1646 |
DOI | 10.1016/S0167-6296(96)00493-6 |
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Abstract | Previous discussions of methods for the efficient allocation of health care resources subject to a budget constraint have relied on unnecessarily restrictive assumptions. This paper makes use of established optimization techniques to demonstrate that a general mathematical programming framework can accommodate much more complex information regarding returns to scale, partial and complete indivisibility and program interdependence. Methods are also presented for incorporating ethical constraints into the resource allocation process, including explicit identification of the cost of equity. |
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AbstractList | Previous discussions of methods for the efficient allocation of health care resources subject to a budget constraint have relied on unnecessarily restrictive assumptions. This paper makes use of established optimization techniques to demonstrate that a general mathematical programming framework can accommodate much more complex information regarding returns to scale, partial and complete indivisibility and program interdependence. Methods are also presented for incorporating ethical constraints into the resource allocation process, including explicit identification of the cost of equity.Previous discussions of methods for the efficient allocation of health care resources subject to a budget constraint have relied on unnecessarily restrictive assumptions. This paper makes use of established optimization techniques to demonstrate that a general mathematical programming framework can accommodate much more complex information regarding returns to scale, partial and complete indivisibility and program interdependence. Methods are also presented for incorporating ethical constraints into the resource allocation process, including explicit identification of the cost of equity. Previous discussions of methods for the efficient allocation of health care resources subject to a budget constraint have relied on unnecessarily restrictive assumptions. This paper makes use of established optimization techniques to demonstrate that a general mathematical programming framework can accommodate much more complex information regarding returns to scale, partial and complete indivisibility and program interdependence. Methods are also presented for incorporating ethical constraints into the resource allocation process, including explicit identification of the cost of equity. Previous discussions of methods for the efficient allocation of health care resources subject to a budget constraint have relied on unnecessarily restrictive assumptions. Established optimization techniques are used to demonstrate that a general mathematical programming framework can accommodate much more complex information regarding returns to scale, partial and complete indivisibility and program interdependence. Methods are also presented for incorporating ethical constraints into the resource allocation process, including explicit identification of the cost of equity. |
Author | Paltiel, A.David Stinnett, Aaron A. |
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Keywords | Cost-benefit analysis Cost-effectiveness analysis Resource allocation Mathematical programming |
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References | Weinstein (BIB10) 1990; 6 The comparative benefits modeling project (BIB4) 1992 Weinstein, Zeckhauser (BIB11) 1973; 2 Phelps, Mushlin (BIB8) 1991; 7 Johannesson, Weinstein (BIB6) 1993; 12 Torrance, Thomas, Sackett (BIB9) 1972; 7 Birch, Gafni (BIB2) 1992; 11 Winston (BIB12) 1991 Birch, Donaldson (BIB1) 1987; 6 Keeler, Cretin (BIB7) 1987; 6 Birch, Gafni (BIB3) 1993; 12 Johannesson (BIB5) 1995 Johannesson (10.1016/S0167-6296(96)00493-6_BIB6) 1993; 12 Birch (10.1016/S0167-6296(96)00493-6_BIB1) 1987; 6 Torrance (10.1016/S0167-6296(96)00493-6_BIB9) 1972; 7 Johannesson (10.1016/S0167-6296(96)00493-6_BIB5) 1995 Birch (10.1016/S0167-6296(96)00493-6_BIB2) 1992; 11 Weinstein (10.1016/S0167-6296(96)00493-6_BIB10) 1990; 6 Winston (10.1016/S0167-6296(96)00493-6_BIB12) 1991 The comparative benefits modeling project (10.1016/S0167-6296(96)00493-6_BIB4) 1992 Birch (10.1016/S0167-6296(96)00493-6_BIB3) 1993; 12 Keeler (10.1016/S0167-6296(96)00493-6_BIB7) 1987; 6 Phelps (10.1016/S0167-6296(96)00493-6_BIB8) 1991; 7 Weinstein (10.1016/S0167-6296(96)00493-6_BIB11) 1973; 2 |
References_xml | – year: 1995 ident: BIB5 article-title: Economic evaluation of medicine and public health: Theory, methods and applications – year: 1991 ident: BIB12 article-title: Operations Research: Applications and Algorithms – volume: 6 start-page: 93 year: 1990 end-page: 103 ident: BIB10 article-title: Principles of cost-effective resource allocation in health care organizations publication-title: International Journal of Technology Assessment in Health Care – year: 1992 ident: BIB4 article-title: A framework for cost-utility analysis of government health care programs: A report to the Office of Disease Prevention and Health Promotion, Public Health Service – volume: 6 start-page: 275 year: 1987 end-page: 278 ident: BIB7 article-title: Uses of cost-benefit analysis publication-title: Journal of Health Economics – volume: 12 start-page: 459 year: 1993 end-page: 467 ident: BIB6 article-title: On the decision rules of cost-effectiveness analysis publication-title: Journal of Health Economics – volume: 6 start-page: 211 year: 1987 end-page: 225 ident: BIB1 article-title: Applications of cost-benefit analysis to health care: departures from welfare economic theory publication-title: Journal of Health Economics – volume: 12 start-page: 469 year: 1993 end-page: 476 ident: BIB3 article-title: Changing the problem to fit the solution: Johannesson and Weinstein's (mis)application of economics to real world problems publication-title: Journal of Health Economics – volume: 7 start-page: 118 year: 1972 end-page: 133 ident: BIB9 article-title: A utility maximization model for evaluation of health care programs publication-title: Health Services Research – volume: 7 start-page: 12 year: 1991 end-page: 21 ident: BIB8 article-title: On the (near) equivalence of cost-effectiveness and cost-benefit analyses publication-title: International Journal of Technology Assessment in Health Care – volume: 11 start-page: 279 year: 1992 end-page: 296 ident: BIB2 article-title: Cost effectiveness analyses: Do current decision rules lead us where we want to be? publication-title: Journal of Health Economics – volume: 2 start-page: 147 year: 1973 end-page: 157 ident: BIB11 article-title: Critical ratios and efficient allocation publication-title: Journal of Public Economics – volume: 6 start-page: 275 year: 1987 ident: 10.1016/S0167-6296(96)00493-6_BIB7 article-title: Uses of cost-benefit analysis publication-title: Journal of Health Economics doi: 10.1016/0167-6296(87)90013-0 – volume: 7 start-page: 12 year: 1991 ident: 10.1016/S0167-6296(96)00493-6_BIB8 article-title: On the (near) equivalence of cost-effectiveness and cost-benefit analyses publication-title: International Journal of Technology Assessment in Health Care doi: 10.1017/S0266462300004803 – volume: 2 start-page: 147 year: 1973 ident: 10.1016/S0167-6296(96)00493-6_BIB11 article-title: Critical ratios and efficient allocation publication-title: Journal of Public Economics doi: 10.1016/0047-2727(73)90002-9 – year: 1991 ident: 10.1016/S0167-6296(96)00493-6_BIB12 – volume: 7 start-page: 118 year: 1972 ident: 10.1016/S0167-6296(96)00493-6_BIB9 article-title: A utility maximization model for evaluation of health care programs publication-title: Health Services Research – year: 1995 ident: 10.1016/S0167-6296(96)00493-6_BIB5 – volume: 12 start-page: 469 year: 1993 ident: 10.1016/S0167-6296(96)00493-6_BIB3 article-title: Changing the problem to fit the solution: Johannesson and Weinstein's (mis)application of economics to real world problems publication-title: Journal of Health Economics doi: 10.1016/0167-6296(93)90006-Z – volume: 6 start-page: 211 year: 1987 ident: 10.1016/S0167-6296(96)00493-6_BIB1 article-title: Applications of cost-benefit analysis to health care: departures from welfare economic theory publication-title: Journal of Health Economics doi: 10.1016/0167-6296(87)90009-9 – year: 1992 ident: 10.1016/S0167-6296(96)00493-6_BIB4 – volume: 11 start-page: 279 year: 1992 ident: 10.1016/S0167-6296(96)00493-6_BIB2 article-title: Cost effectiveness analyses: Do current decision rules lead us where we want to be? publication-title: Journal of Health Economics doi: 10.1016/0167-6296(92)90004-K – volume: 12 start-page: 459 year: 1993 ident: 10.1016/S0167-6296(96)00493-6_BIB6 article-title: On the decision rules of cost-effectiveness analysis publication-title: Journal of Health Economics doi: 10.1016/0167-6296(93)90005-Y – volume: 6 start-page: 93 year: 1990 ident: 10.1016/S0167-6296(96)00493-6_BIB10 article-title: Principles of cost-effective resource allocation in health care organizations publication-title: International Journal of Technology Assessment in Health Care doi: 10.1017/S0266462300008953 |
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SubjectTerms | Budget constraint Budgets Cost benefit analysis Cost-Benefit Analysis - methods Cost-effectiveness analysis Decision Making Gesundheitskosten Health care Health Care Rationing - economics Health economics Health services Interdependence Kosten-Nutzen-Analyse Kosten-Wirksamkeits-Analyse Mathematical programming Mathematische Optimierung Methods Models, Econometric Optimization Optimization techniques Program Evaluation - economics Programming Resource allocation Social Justice Theorie United States |
Title | Mathematical programming for the efficient allocation of health care resources |
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