Re: SAH and resource allocationThe relationship in individuals age 65 and
older is quite robust.
See ref and link below:
Bierman AS, Bubolz TA, Fisher ES, Wasson JH.Related Articles, Links
How well does a single question about health predict the financial health of
Medicare managed care plans?
Eff Clin Pract. 1999 Mar-Apr;2(2):56-62.
http://www.acponline.org/journals/ecp/marapr99/single.htm
Arlene
Arlene S. Bierman, MD, MS
Ontario Women's Health Council Chair in Women's Health, University of
Toronto
Centre for Research on Inner City Health
St. Michael's Hospital
30 Bond Street (80 Bond Street)
Toronto, ON M5B 1W8
Phone: (416) 864-6060 ext. 2894
Fax: (416) 864-5485
Email: [log in to unmask]
----- Original Message -----
From: Starfield, Barbara
To: [log in to unmask]
Sent: Tuesday, February 06, 2007 7:36 PM
Subject: Re: SAH and resource allocation
I suppose we are talking about adults--most studies are on the elderly. I
don't think we know much about predictability of SAH in young people.
Barbara
Barbara Starfield, MD, MPH
University Distinguished Professor
Johns Hopkins University & Medical Institutions
624 North Broadway, Room 452
Baltimore, Maryland 21205
Phone 410-955-3737
Fax 410-614-9046
[log in to unmask]
----- Original Message -----
From: The Health Equity Network (HEN) <[log in to unmask]>
To: [log in to unmask]
<[log in to unmask]>
Sent: Tue Feb 06 14:04:15 2007
Subject: SAH and resource allocation
Hi John. Crude self-assessed health does predict life expectancy - but
healthcare expenditure doesn't... Has anyone modelled the relationship
between SAH and healthcare expenditure?
Best, Alex
Adam Oliver wrote:
> Message from John - please reply directly to him at:
> [log in to unmask] <mailto:[log in to unmask]>
>
> ------------------------------------- I have an equity question
> related to resource allocation that has arisen in some work i am
> doing and would appreciate any thoughts.
>
> The allocation of NHS resources to geographical areas is
> determined in part by a needs-weighted population formula ('in
> part' because ministers can exercise judgement over allocations
> indicated by applying the formula to the global budget).
>
> Various indicative needs factors are included - SMRs, various
> measures of deprivation etc. One possible improvement to the
> formula could be to include some measure of self assessed health
> - like the EQ5D. Leaving aside whether such a measure would,
> statistically, add anything to the current formula, everything
> else being equal, is it fair that a particular geographical area
> should be allocated more public money just because they feel less
> healthy?
>
> answers on a postcard.
>
> John
>
> John Appleby Chief Economist King's Fund 11-13 Cavendish Square
> London W1G 0AN
>
> Visiting Professor, City University
>
> T: 0207 307 2540 M: 07831 638774 F: 0207 307 2807
>
>
--
******************************************************************
Alex Scott-Samuel
EQUAL (Equity in Health Research and Development Unit)
Division of Public Health
University of Liverpool
Whelan Building
Quadrangle
Liverpool
L69 3GB
Tel (+44)151-794-5569
Fax (+44)151-794-5588
http://pcwww.liv.ac.uk/~alexss
e-mail [log in to unmask]
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