Comparing costs and outcomes across programmes of health care
研究了英国初级保健信托在固定预算下十个医疗项目的支出弹性，发现多数项目收入弹性相近，仅肌肉骨骼项目较低，并计算了五个项目挽救生命年的隐含成本，对政策制定者评估预算削减影响有参考价值。
This paper examines the expenditure choices of local health authorities operating under fixed budget constraints. It applies a theoretical model of budgeting to a data set from 303 English Primary Care Trusts (PCTs) across ten broad programmes of health care to derive estimates of the elasticity of expenditure in each programme with respect to the total income of the PCT. The results suggest quite similar income elasticities across most programmes, in the range 0.644-1.128. The only outlier is the musculoskeletal programme with an elasticity of about 0.46. The modelling also derives estimates of spending elasticities with respect to medical needs and thereby permits calculation of the implicit cost of saving a life year in five programmes of care. The results are important as they indicate to policy makers how specific programme areas might be affected by general budgetary reductions.