IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v138y2023ics016885102300218x.html
   My bibliography  Save this article

Evaluating whole system reforms: A structured approach for selecting multiple outcomes

Author

Listed:
  • Fatimah, Alfariany
  • Britteon, Philip
  • Turner, Alex J
  • Anselmi, Laura
  • Gillibrand, Stephanie
  • Wilson, Paul
  • Sutton, Matt
  • Lau, Yiu-Shing

Abstract

Whole-system reforms, including devolution and integration of health and social care services, have the potential to impact multiple dimensions of health system performance. Most evaluations focus on a single or narrow subsets of outcomes amenable to change. This approach may not: (i) capture the overall effect of the reform, (ii) identify the mechanisms through which system-wide changes may have occurred, (iii) prevent post-hoc selection of outcomes based on significant results; and (iv) facilitate comparisons across settings.

Suggested Citation

  • Fatimah, Alfariany & Britteon, Philip & Turner, Alex J & Anselmi, Laura & Gillibrand, Stephanie & Wilson, Paul & Sutton, Matt & Lau, Yiu-Shing, 2023. "Evaluating whole system reforms: A structured approach for selecting multiple outcomes," Health Policy, Elsevier, vol. 138(C).
    • Handle: RePEc:eee:hepoli:v:138:y:2023:i:c:s016885102300218x
    DOI: 10.1016/j.healthpol.2023.104933
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S016885102300218X
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.healthpol.2023.104933?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Anderson, Michael L., 2008. "Multiple Inference and Gender Differences in the Effects of Early Intervention: A Reevaluation of the Abecedarian, Perry Preschool, and Early Training Projects," Journal of the American Statistical Association, American Statistical Association, vol. 103(484), pages 1481-1495.
    2. Xu, Yiqing, 2017. "Generalized Synthetic Control Method: Causal Inference with Interactive Fixed Effects Models," Political Analysis, Cambridge University Press, vol. 25(1), pages 57-76, January.
    3. Atolia, Manoj & Li, Bin Grace & Marto, Ricardo & Melina, Giovanni, 2021. "Investing In Public Infrastructure: Roads Or Schools?," Macroeconomic Dynamics, Cambridge University Press, vol. 25(7), pages 1892-1921, October.
    4. Arup Bose & Debashis Pal & David E. M. Sappington, 2021. "The political economy of voluntary public service," Public Choice, Springer, vol. 186(1), pages 29-61, January.
    5. Robert Osei-Kyei & Albert P. C. Chan, 2021. "Risk Assessment of Public-Private Partnership Projects," Springer Books, in: International Best Practices of Public-Private Partnership, chapter 0, pages 71-89, Springer.
    6. Simon Walker & Susan Griffin & Miqdad Asaria & Aki Tsuchiya & Mark Sculpher, 2019. "Striving for a Societal Perspective: A Framework for Economic Evaluations When Costs and Effects Fall on Multiple Sectors and Decision Makers," Applied Health Economics and Health Policy, Springer, vol. 17(5), pages 577-590, October.
    7. Yanbo Zhang & Zidong Chai & Xiaobo Liu & Ruonan Xing & Mengti Zhao & Danhua Li & Xinyu Zhang & Yu Hao & Aliaksei Vasilyeu, 2021. "Public goods game with the moral dual process theory," Cyber-Physical Systems, Taylor & Francis Journals, vol. 7(1), pages 1-10, January.
    8. Yao-Yuan Yeh & Charles K. S. Wu & Wei-hao Huang, 2021. "China’s soft power and US public opinion," Economic and Political Studies, Taylor & Francis Journals, vol. 9(4), pages 447-460, October.
    9. Jushan Bai, 2009. "Panel Data Models With Interactive Fixed Effects," Econometrica, Econometric Society, vol. 77(4), pages 1229-1279, July.
    10. Jianping Li & Xiaoqian Zhu & Dengsheng Wu, 2021. "China’s publications: fewer but better," Nature, Nature, vol. 592(7855), pages 507-507, April.
    11. Francisca G.-C. Richter & Claudia Coulton & Robert L. Fischer & Nina Lalich, 2021. "Public Assistance and Homeless Shelter Trajectories," The ANNALS of the American Academy of Political and Social Science, , vol. 693(1), pages 123-140, January.
    12. Bureau of Economic Analysis, 2022. "Integrated BEA/BLS Industry-Level Production Account," Survey of Current Business, Bureau of Economic Analysis, June.
    13. Oecd, 2022. "Integrity and security in the global research ecosystem," OECD Science, Technology and Industry Policy Papers 130, OECD Publishing.
    14. Mingxiao Li & Lin Chang & Lue Wu & Jeremy Staffa & Jingwei Ling & Usman A. Javid & Shixin Xue & Yang He & Raymond Lopez-rios & Theodore J. Morin & Heming Wang & Boqiang Shen & Siwei Zeng & Lin Zhu & K, 2022. "Integrated Pockels laser," Nature Communications, Nature, vol. 13(1), pages 1-10, December.
    15. Hui Xu & Yang Li & Yongtao Tan & Liudan Jiao & Yuting Yang & Xiaofeng Hu, 2021. "Resilience Evaluation of Complex Urban Public Spaces," Springer Books, in: Gui Ye & Hongping Yuan & Jian Zuo (ed.), Proceedings of the 24th International Symposium on Advancement of Construction Management and Real Estate, pages 419-436, Springer.
    16. Weingast, Barry R., 2009. "Second generation fiscal federalism: The implications of fiscal incentives," Journal of Urban Economics, Elsevier, vol. 65(3), pages 279-293, May.
    17. ., 2022. "What is European integration for?," Chapters, in: Governing the EU in an Age of Division, chapter 4, pages 57-81, Edward Elgar Publishing.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Berardi, Chiara & Schut, Frederik & Paolucci, Francesco, 2024. "The dynamics of international health system reforms: Evidence of a new wave in response to the 2008 economic crisis and the COVID-19 pandemic?," Health Policy, Elsevier, vol. 143(C).
    2. Britteon, Philip & Fatimah, Alfariany & Gillibrand, Stephanie & Lau, Yiu-Shing & Anselmi, Laura & Wilson, Paul & Sutton, Matt & Turner, Alex J., 2024. "The impact of devolution on local health systems: Evidence from Greater Manchester, England," Social Science & Medicine, Elsevier, vol. 348(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Sabela Siaba, & Bruno Casal & Berta Rivera, 2024. "The Impact of Financial Constraints on Quality of Life and Mental Health in the Elderly: Evidence from Spain," Hacienda Pública Española / Review of Public Economics, IEF, vol. 249(2), pages 9-34, June.
    2. Chakraborty Avinandan & Doremus Jacqueline & Stith Sarah, 2021. "The effects of recreational cannabis access on labor markets: evidence from Colorado," IZA Journal of Labor Economics, Sciendo & Forschungsinstitut zur Zukunft der Arbeit GmbH (IZA), vol. 10(1), pages 1-86, January.
    3. Xiong, Ruoxuan & Pelger, Markus, 2023. "Large dimensional latent factor modeling with missing observations and applications to causal inference," Journal of Econometrics, Elsevier, vol. 233(1), pages 271-301.
    4. Michał Marcin Kobierecki & Michał Pierzgalski, 2022. "Sports Mega-Events and Economic Growth: A Synthetic Control Approach," Journal of Sports Economics, , vol. 23(5), pages 567-597, June.
    5. Hans-Bernd Schaefer & Rok Spruk, 2024. "Islamic Law, Western European Law and the Roots of Middle East's Long Divergence: a Comparative Empirical Investigation (800-1600)," Papers 2401.14435, arXiv.org, revised Mar 2024.
    6. Victor Chernozhukov & Kaspar Wüthrich & Yinchu Zhu, 2021. "An Exact and Robust Conformal Inference Method for Counterfactual and Synthetic Controls," Journal of the American Statistical Association, Taylor & Francis Journals, vol. 116(536), pages 1849-1864, October.
    7. Dominik Schraff & Frank Schimmelfennig, 2019. "Eurozone bailouts and national democracy: Detachment or resilience?," European Union Politics, , vol. 20(3), pages 361-383, September.
    8. Nicholas Brown & Kyle Butts & Joakim Westerlund, 2023. "Simple Difference-in-Differences Estimation in Fixed-T Panels," Papers 2301.11358, arXiv.org, revised Jun 2023.
    9. Anish Agarwal & Keegan Harris & Justin Whitehouse & Zhiwei Steven Wu, 2023. "Adaptive Principal Component Regression with Applications to Panel Data," Papers 2307.01357, arXiv.org, revised Aug 2024.
    10. Bruno Ferman, 2021. "On the Properties of the Synthetic Control Estimator with Many Periods and Many Controls," Journal of the American Statistical Association, Taylor & Francis Journals, vol. 116(536), pages 1764-1772, October.
    11. Rafaty, R. & Dolphin, G. & Pretis, F., 2020. "Carbon pricing and the elasticity of CO2 emissions," Cambridge Working Papers in Economics 20116, Faculty of Economics, University of Cambridge.
    12. Dallas Dotter & Duncan Chaplin & Maria Bartlett, "undated". "Impacts of School Reforms in Washington, DC on Student Achievement," Mathematica Policy Research Reports 44e95d7566434a21b8d57f951, Mathematica Policy Research.
    13. Dmitry Arkhangelsky & Guido Imbens, 2023. "Causal Models for Longitudinal and Panel Data: A Survey," Papers 2311.15458, arXiv.org, revised Jun 2024.
    14. Bennato, Anna Rita & Davies, Stephen & Mariuzzo, Franco & Ormosi, Peter, 2021. "Mergers and innovation: Evidence from the hard disk drive market," International Journal of Industrial Organization, Elsevier, vol. 77(C).
    15. Boese-Schlosser, Vanessa A. & Eberhardt, Markus, 2023. "How Does Democracy Cause Growth?," Discussion Papers, Research Unit: Transformations of Democracy SP V 2023-501, WZB Berlin Social Science Center.
    16. Pengyue Wu & Wenjing Xu & Jing Ma, 2024. "Policy Evolution and Effect Evaluation of Zhejiang Manufacturing Industry Based on Text Data," Journal of the Knowledge Economy, Springer;Portland International Center for Management of Engineering and Technology (PICMET), vol. 15(1), pages 2895-2932, March.
    17. Cong Wang, 2024. "Counterfactual and Synthetic Control Method: Causal Inference with Instrumented Principal Component Analysis," Papers 2408.09271, arXiv.org, revised Sep 2024.
    18. Taylor K. Odle, 2022. "Free to Spend? Institutional Autonomy and Expenditures on Executive Compensation, Faculty Salaries, and Research Activities," Research in Higher Education, Springer;Association for Institutional Research, vol. 63(1), pages 1-32, February.
    19. Dmitry Arkhangelsky & Susan Athey & David A. Hirshberg & Guido W. Imbens & Stefan Wager, 2021. "Synthetic Difference-in-Differences," American Economic Review, American Economic Association, vol. 111(12), pages 4088-4118, December.
    20. Cheng Hsiao & Qiankun Zhou, 2024. "Panel treatment effects measurement: Factor or linear projection modelling?," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 39(7), pages 1332-1358, November.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:138:y:2023:i:c:s016885102300218x. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.