OBJECTIVES Many existing healthcare interventions diffused before modern evidence-based standards of clinical- and cost-effectiveness. Disinvestment from ineffective or inappropriately applied practices is growing as a priority for international health policy, both for improved quality of care and sustainability of resource allocation. Australian policy stakeholders were canvassed to assess the...

Pharmaceutical expenditure has increased rapidly across many Organisation for Economic Cooperation and Development (OECD) countries over the past three decades. This growth is an increasing concern for governments and other third-party payers seeking to provide equitable and comprehensive healthcare within sustainable budgets. In order to create headroom for increasing utilisation, and to fund ...

BACKGROUND In an era of a growing economic pressure for all health systems, the interest for "disinvestment" in healthcare increased. In this context, evidence based approaches such as Health Technology Assessment (HTA) are needed both to invest and to disinvest in health technologies. In order to investigate the extent of application of HTA in this field, methodological projects/frameworks, ca...

BACKGROUND Practical solutions are needed to support the appropriate use of available health system resources as countries are continually pressured to 'do more with less' in health care. Increasingly, health systems and organizations are exploring the reassessment of possibly obsolete, inefficient, or ineffective health system resources and potentially redirecting funds to those that are more ...

OBJECTIVES There is widespread commitment--at least in principle--to "evidence-informed" clinical practice and policy development in health care. The intention is that only "appropriate" care ought to be delivered at public expense. Although the rationale for an appropriateness agenda is widely endorsed, and methods have been proposed for addressing it, few published studies exist of contempora...

We address the questions of disinvestment (partial privatization) and entry in the context of quantity competition between a partially privatized public bank and a private bank. We find that social welfare improves with entry only when the private banks are more efficient than the public bank. We also determine socially optimum degree of disinvestment and entry.

This paper values the option of a firm to downscale production in recessionary times. The regulator allows downscaling as long as the recession lasts. The end of the recession is modelled via a Poisson process. We show that the disinvestment timing is affected by two contrary effects. First, when the probability increases that the recession will be over soon, the firm will disinvest sooner, bec...

Many other countries face similar economic challenges around healthcare spending, yet their policy response is somewhat different than what we have traditionally seen in Australia. In a number of countries including Canada and some parts of Europe there is a move to more explicit and transparent decision making and priority setting processes. These processes include resource allocation (investm...

This paper studies the effect of decoupling on optimal investment in agriculture assuming disinvestment flexibility. Agricultural income being determined by policy processes is subject to policy uncertainty. Case study examples suggest that assuming disinvestment flexibility, decoupling increases income stability, and a higher level of investments can be achieved even with lower subsides. Incre...