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Ed Case World Chat Champion
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barrkel |
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barrkel World Chat Champion
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Posted: 13:30 - 16 Oct 2017 Post subject: |
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My GF is a healthcare economist, working in the social policy unit at LSE. She's of the opinion that a lot of things are broken in the NHS, but it's not due to penny-pinching.
Whether NHS funds something or not is often decided based on cost per QALY: quality adjusted life years. If you're old and the quality improvement isn't large, it's less likely to be funded than if you're young and the quality of life improvement is large.
The trick is in determining the cost (this is what my GF works on, on a day to day basis - developing models to estimate costs based on studies and data). Interventions, as they're called, need to be costed correctly; not just the up-front cost, but the ramifications down the line. In longitudinal studies, you can gather data about outcomes from interventions, further service use, etc. What proportion of the population ends up in remission vs relapse.
One place where things get messed up is in the data gathering phase of studies. Well-meaning people fudge numbers and misreport statistics to inflate the benefits and diminish the costs of an intervention, because they think that "doing something is better than doing nothing", even if it's not scientifically the best thing to do relative to other options, or even if it has no effect at all.
The other place it gets messed up is in politics. There are a lot of sneaky directives that come in via people funding studies, or policy decisions from civil servants directed by politicians, that subvert or sabotage or influence outcomes to appeal to some political group or ideology, rather than scientifically measured improvement in the population. ____________________ Bikes: S1000R, SH350; Exes: Vity 125, PS125, YBR125, ER6f, VFR800, Brutale 920, CB600F, SH300x4
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M.C |
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M.C Super Spammer
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Old Thread Alert!
The last post was made 6 years, 194 days ago. Instead of replying here, would creating a new thread be more useful? |
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