The cost burden of public health interventions across multiple budgets
PHE ePoster Library. Griffin S.
Sep 12, 2017; 186561
Susan Griffin
Susan Griffin
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Abstract
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Abstract IntroductionPublished studies that assess the costs and effects of public health interventions rarely provide a break down of which budgets are affected by the costs and savings. Such information would be useful for those involved in funding decisions, and can ensure that the opportunity cost of diverting funds from specific budgets is appropriately taken into account.MethodWe reviewed the NICE public health guidelines and categorised the sector on which the cost burden of funding the public health intiatives would fall. We also determined the level to which the costs were disaggregated by sector in the reporting of the economic evaluation evidence.ResultsThe majority of public health recommended interventions impose direct cost burdens on the NHS (80%) and local authorities (n=78%). The most frequent pattern of cost burden was across NHS, local authority and other public sector spending (32%). Nine interventions (17%) had impact on only a single sector, of which four were NHS spend only. Eight guidelines presented total costs fully disaggregated according to the sectors in which they fell.ConclusionsIdentification of all costs is not routinely summarised in the economic evidence that informs NICE public health guidelines, and this may be typical of economic evaluations more generally in the field of public health. This risks uncertainty for stakeholders in determining the cost impact of interventions. It would be possible to improve the consistency and transparency of published studies by adapting the CHEERS checklist to highlight sector specific costs and outcomes.
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