Iestyn Williams
University of Birmingham, Health Services Management Centre, Faculty Member
- Social Policy, Public Value, Health Services Management, Priority setting and rationing, Disinvestment, International Health Care Comparisons, and 7 morePublic Management, Public Management (Political Science), Local Government, Public Services, Health Care Management, Public Service Management, and Public Administrationedit
Research Interests:
Research Interests: Health and Public Value
Purpose - The purpose of this paper is to take forward consideration of context in health care priority setting and to offer some practical strategies for priority setters to increase receptiveness to their work.... more
Purpose - The purpose of this paper is to take forward consideration of context in health care priority setting and to offer some practical strategies for priority setters to increase receptiveness to their work. Design/methodology/approach - A number of tools and methods have been devised with the aim of making health care priority setting more robust and evidence based. However, in order to routinely take and implement priority setting decisions, decision makers require the support, or at least the acquiescence, of key external parties. In other words, the priority setting process requires a receptive context if it is to proceed unhindered. Findings - The priority setting process requires a receptive context if it is to proceed unhindered. Originality/value - This paper develops the concept of legitimacy in the "authorising environment" in priority setting and describes strategies which might help decision makers to create a receptive context, and to manage relationships...
The topic of how cost-effectiveness information informs priority setting in healthcare remains important to both policy and practice. This commentary considers the study carried out by Eckard and colleagues in Sweden. In it we distinguish... more
The topic of how cost-effectiveness information informs priority setting in healthcare remains important to both policy and practice. This commentary considers the study carried out by Eckard and colleagues in Sweden. In it we distinguish between the conditions at national and local levels and put forward some recommendations for research into local priority setting in particular.
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To determine the extent to which health economic information is used in health policy decision-making in the UK, and to consider factors associated with the utilisation of such research findings. Major electronic databases were searched... more
To determine the extent to which health economic information is used in health policy decision-making in the UK, and to consider factors associated with the utilisation of such research findings. Major electronic databases were searched up to 2004. A systematic review of existing reviews on the use of economic evaluations in policy decision-making, of health and non-health literature on the use of economic analyses in policy making and of studies identifying actual or perceived barriers to the use of economic evaluations was undertaken. Five UK case studies of committees from four local and one national organisation [the Technology Appraisal Committee of the National Institute for Health and Clinical Excellence (NICE)] were conducted. Local case studies were augmented by documentary analysis of new technology request forms and by workshop discussions with members of local decision-making committees. The systematic review demonstrated few previous systematic reviews of evidence in th...
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While purchasing and procurement have been central features of NHS reform for a number of years, recent policy developments in England have intensified the shift from what has been termed by central government a provider led service to... more
While purchasing and procurement have been central features of NHS reform for a number of years, recent policy developments in England have intensified the shift from what has been termed by central government a provider led service to one where commissioners drive ...
THREE Decision making and priority setting Iestyn Williams and Suzanne Robinson Summary This chapter explores: • key features of resource ... is famous for its failure rather than success, with the rankings it produced being considered... more
THREE Decision making and priority setting Iestyn Williams and Suzanne Robinson Summary This chapter explores: • key features of resource ... is famous for its failure rather than success, with the rankings it produced being considered clinically counterintuitive (Hadorn, 1991). ...
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... Cover design by Robin Hawes Front cover: photograph kindly supplied by www.istock.com Printed and bound in Great Britain by TJ International, Padstow Page 4. ... These include Jo Ellins,Tim Freeman, Sue Jowett, Shirley McIver,... more
... Cover design by Robin Hawes Front cover: photograph kindly supplied by www.istock.com Printed and bound in Great Britain by TJ International, Padstow Page 4. ... These include Jo Ellins,Tim Freeman, Sue Jowett, Shirley McIver, Benedict Rumbold and Katie Spence. ...
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ABSTRACT Without Abstract