Background Low-value clinical practices are common in healthcare, yet the optimal
approach to de-adopting these practices is unknown. The objective of this study was to …

Medicines have made an appreciable contribution to improving health. However, even high-
income countries are struggling to fund new premium-priced medicines. This will grow …

Objective: To develop and apply a novel method for scanning a range of sources to identify
existing health care services (excluding pharmaceuticals) that have questionable benefit …

Background: This report reviews approaches and tools for measuring the impact of research
programmes, building on, and extending, a 2007 review. Objectives:(1) To identify the range …

Background Health care decision making requires making resource allocation decisions
among programs, services, and technologies that all compete for a finite resource pool …

Background Third-grade hospitals in Beijing have been rapidly developing in capacity and
scale for many years. These hospitals receive a large number of patients, and ensuring their …

Purpose–The aims of this paper are to explore the experiences of budget holders within the
English National Health Service (NHS), in their attempts to implement programmes of …

EXECUTIVE SUMMARY The Italian National Health System (NHS), established in 1978,
follows a model similar to the Beveridge model developed by the British NHS (Beveridge …

Healthcare decision-makers have always faced the challenge of allocating finite resources,
but the global economic downturn places extra pressure on health systems to meet rising …

Background Decreasing hospital length of stay, and so freeing up hospital beds, represents
an important cost saving which is often used in economic evaluations. The savings need to …