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Investment in quality improvement: how to maximize the return

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  • Afschin Gandjour

Abstract

Today, one of the most pressing concerns of health‐care policymakers in industrialized countries are deficits in the quality of health care. This paper presents a decision program that addresses the question in which disease areas and at what intensity to invest in quality improvement (QI) in order to maximize population health. The decision program considers both a budget constraint as well as time constraints of educators and health professionals to participate in educational activities. The calculations of the model are based on a single assumption which is that more intense quality efforts lead to larger QIs, but with diminishing returns. This assumption has been validated by previous studies. All other relationships described by the model are deduced from this assumption. The model uses data from QI trials published in the literature. Thus, it is able to assess how the vast number of published QI strategies compare in terms of their value. Copyright © 2009 John Wiley & Sons, Ltd.

Suggested Citation

  • Afschin Gandjour, 2010. "Investment in quality improvement: how to maximize the return," Health Economics, John Wiley & Sons, Ltd., vol. 19(1), pages 31-42, January.
    • Handle: RePEc:wly:hlthec:v:19:y:2010:i:1:p:31-42
    DOI: 10.1002/hec.1449
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    References listed on IDEAS

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    1. Afschin Gandjour & Karl Wilhelm Lauterbach, 2003. "When Is It Worth Introducing a Quality Improvement Program? A Mathematical Model," Medical Decision Making, , vol. 23(6), pages 518-525, November.
    2. M. D. Stevenson & J. Oakley & J. B. Chilcott, 2004. "Gaussian Process Modeling in Conjunction with Individual Patient Simulation Modeling: A Case Study Describing the Calculation of Cost-Effectiveness Ratios for the Treatment of Established Osteoporosis," Medical Decision Making, , vol. 24(1), pages 89-100, January.
    3. Afschin Gandjour & Karl Wilhelm Lauterbach, 2005. "How Much Does It Cost to Change the Behavior of Health Professionals? A Mathematical Model and an Application to Academic Detailing," Medical Decision Making, , vol. 25(3), pages 341-347, May.
    4. Karl Claxton & John Posnett, "undated". "An Economic Approach to Clinical Trial Design and Research Priority Setting," Discussion Papers 96/19, Department of Economics, University of York.
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    Cited by:

    1. Rita Faria & Simon Walker & Sophie Whyte & Simon Dixon & Stephen Palmer & Mark Sculpher, 2017. "How to Invest in Getting Cost-effective Technologies into Practice? A Framework for Value of Implementation Analysis Applied to Novel Oral Anticoagulants," Medical Decision Making, , vol. 37(2), pages 148-161, February.
    2. Mili Mehrotra & Karthik V. Natarajan, 2020. "Value of Combining Patient and Provider Incentives in Humanitarian Health Care Service Programs," Production and Operations Management, Production and Operations Management Society, vol. 29(3), pages 571-594, March.
    3. Mehdi Ammi & Christine Peyron, 2016. "Heterogeneity in general practitioners’ preferences for quality improvement programs: a choice experiment and policy simulation in France," Health Economics Review, Springer, vol. 6(1), pages 1-11, December.

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