Evidence map›Paper›PMID 36398991›Full record

ArticleHealth policy and planning2023

How to do (or not to do)… health resource allocations using constrained mathematical optimization.

Robyn M Stuart, Nicole Fraser-Hurt, Zara Shubber, Lung Vu, Nejma Cheik, Cliff C Kerr, David P Wilson

Abstract read
In one paragraph

Article in Health policy and planning, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Robyn M StuartDepartment of Mathematical Sciences, University of Copenhagen, Universitetsparken 5, Copenhagen 2100, Denmark.ORCID 0000-0001-5482-9584
Nicole Fraser-HurtThe World Bank Group, 2121 Pennsylvania Avenue NW, Washington, DC 20433, USA.
Zara ShubberThe World Bank Group, 2121 Pennsylvania Avenue NW, Washington, DC 20433, USA.
Lung VuThe World Bank Group, 2121 Pennsylvania Avenue NW, Washington, DC 20433, USA.
Nejma CheikThe World Bank Group, 2121 Pennsylvania Avenue NW, Washington, DC 20433, USA.
Cliff C KerrInstitute for Disease Modeling at the Bill & Melinda Gates Foundation, 500 Fifth Avenue North, Seattle, WA 98109, USA.
David P WilsonBurnet Institute, 85 Commercial Road, Melbourne 3004, Australia.

Funding

World Bank Group
6 · The paper itself

Abstract

Despite the push towards evidence-based health policy, decisions about how to allocate health resources are all too often made on the basis of political forces or a continuation of the status quo. This results in wastage in health systems and loss of potential population health. However, if health systems are to serve people best, then they must operate efficiently and equitably, and appropriate valuation methods are needed to determine how to do this. With the advances in computing power over the past few decades, advanced mathematical optimization algorithms can now be run on personal computers and can be used to provide comprehensive, evidence-based recommendations for policymakers on how to prioritize health spending considering policy objectives, interactions of interventions, real-world system constraints and budget envelopes. Such methods provide an invaluable complement to traditional or extended cost-effectiveness analyses or league tables. In this paper, we describe how such methods work, how policymakers and programme managers can access them and implement their recommendations and how they have changed health spending in the world to date.

Indexed as

Health ResourcesResource AllocationHealth PolicyHumanscost-effectiveness analysisResource allocation

Identifiers

PMID36398991
PMCPMC9825717

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.