Health economics research

 

Nancy Devlin

Department of Economics, City University

Senior Associate, King’s Fund

 

New work:

 

Buckingham, K., Devlin, N. An exploration of the marginal utility of time in health. Social Science and Medicine (in press).

 

Devlin N, Parkin D, Browne J. (2008) Using the EQ-5D as a performance measurement tool in the NHS. Paper presented to the 25th Scientific Plenary of the EuroQol Group, Milan 10-14th September.

 

Devlin N, Tsuchiya A, Buckingham K, Tilling C. (2008) Time Trade Off valuations of EQ-5D states worse than dead: a feasibility study. Paper presented to the 25th Scientific Plenary of the EuroQol Group, Milan 10-14th September.

 

Parkin D, Rice N, Devlin N. (2008) Statistical analysis of EQ-5D profiles: does the use of value sets bias inference? Discussion Paper 08/10, Economics Department, City University.

 

 

 

 

 

 

A new resource for industry and researchers

HTAinSite is a user-friendly database of all NICE technology appraisals that links NICE decisions with their evidence.  You can view the data; generate statistical reports and analyse trends. HTAinSite is the product of a collaboration between The City University, the Office for Health Economics, and Abacus International. 

 

HTAinSite is now available to subscribers. For more information, or to enquire about annual subscriptions, contact ndevlin@ohe.org

 

 

 

1. Journal articles, 2000 - 2008

Dimakou S, Parkin D, Devlin N, Appleby J. (2008) Identifying the impact of government targets on waiting times in the NHS. Journal of Health Care Management Science (forthcoming).

Brooker S, Kabatereine N. Fleming F, Devlin N. (2008) Cost and cost effectiveness of nationwide school-based helminth control in Uganda: intra-country variation and effects of scaling up. Health Policy and Planning 23:24-35.

Appleby J, Devlin N, Parkin D. (2007) NICE’s cost effectiveness threshold: how high should it be? British Medical Journal 335: 358-359.

 

Buckingham K, Devlin N. (2006) A theoretical framework for TTO valuations of health. Health Economics 15 (10) 1149-54.

[Click here to see what Professor George Torrance, McMaster University says about this paper. See also the reference to this paper in: Torrance G. (2006) Utility measurement in health care: the things I never got to. Pharmacoeconomics 24(11) 1069-78. ]

 

Parkin D, Devlin N. (2006) Is there a case for using visual analogue scale valuations in Cost Utility Analysis? Health Economics 15:653-664. [See also: Brazier J et al (2007) Is there a case for using VAS valuations in CUA? Yes, but what does it add to ordinal data?, Health Economics 16: 645-647, and our rejoinder to that, 16:649-651].

                                            

Dakin H, Devlin N, Odeyemi I. (2006) "Yes", "No" or "Yes, but"? Multinomial modelling of NICE decision-making. Health Policy 77:352-367.

Devlin N, Hansen P, Herbison P, Macran S. (2005) A 'new and improved' EQ-5D valuation questionnaire? Results from a pilot study. European Journal of Health Economics 6(1): 73-82.

Burge P, Devlin N, Appleby J, Rohr C, Grant J. (2005) Do patients prefer quicker treatment? A discrete choice analysis of patients' stated preferences in the London Patient Choice Project. Journal of Applied Health Economics and Health Policy 3(4):183-194. 

Appleby J, Boyle S, Devlin N, Harley M, Harrison A, Thorlby R. (2005) Do English NHS waiting times targets distort treatment priorities in orthopaedics? Journal of Health Services Research and Policy Jul 10(3):167-22.

Devlin N,  Parkin D. (2004) Does NICE have a cost effectiveness threshold and what other factors influence its decisions? A binary choice analysis. Health Economics 13(5): 437-52. 

Evidence of the impact of Devlin and Parkin (2004)

 

 

Cited by 104 journal articles since publication in 2004 [Web of Knowledge citations, July 2008]

The conceptual model in this paper features as Box 10.5 (p 352-353) in the latest edition of Drummond et al (2005) Methods for the economic evaluation of health care programmes (3rd edition) Oxford University Press.

Professor Victor Fuchs, Stanford University: “your paper on NICE and cost effectiveness thresholds is one of the more interesting I have read in several years” (3/9/04)

Thomson Scientific citations (‘in-cite’) have, for the last two years, included this paper in its listing of the top 3 papers published in business and economics journals; in September 2006 the paper held first place (jointly with a paper in J Polit Econ).

Click here to see an interview with us about this paper.

Awarded (with D. Parkin) the 2005 City University Research prize for research excellence.

Devlin, N., Hansen, P., Selai, C. (2004) Understanding health state valuations: a qualitative analysis of respondents' comments. Quality of Life Research 13(7):1265-77.

                       Perkins, M., Devlin, N., Hansen, P. (2004) The validity and reliability of EQ-5D health state valuations in a study of Mäori. Quality of Life Research 13(1) 271-274.

                       Ashton, T., Mays, N., Devlin, N. (2004) Continuity through change: the rhetoric and reality of health reform in New Zealand. Social Science and Medicine 61(2):253-62.

                       Devlin N, Gold, M., Parkin, D. (2003) WHO evaluates NICE. British Medical Journal 327:1061-2.

                       Devlin N, Appleby J, Parkin D. (2003) Patients' views on explicit rationing: what are the implications for health service decision-making? Journal of Health Services Research and Policy 8(3):183-186.

Derrett S, Devlin N, Hansen P, Herbison P (2003) Prioritising patients for elective surgery. A prospective study of clinical priority assessment criteria (CPAC) in New Zealand. International Journal of Technology Assessment in Health Care 19 (1):91-105.

Devlin N, Hansen P, Kind P, Williams A. (2003) Logical inconsistencies in survey respondents’ health state valuations – a methodological challenge for estimating social tariffs. Health Economics 12(7): 529-544.

Evidence of the impact of Devlin, Hansen, Kind and Williams (2003)

The value sets produced by this project are routinely used in the economic evaluation of all new drugs in New Zealand – see PHARMAC (2006)  Prescription for Pharmacoeconomic Analysis: methods for cost utility analysis. Wellington: PHARMAC.

Cited by 13 journal articles since publication in 2004 [Web of Knowledge citations, June 2008]

 

Devlin, N., Parkin, D. (2003) Funding fertility: issues in the allocation and distribution of resources to assisted reproduction technologies. Human Fertility 6(2) S2-S6. 

                       Devlin, N, Harrison, A., Derrett, S. (2002) Waiting in the NHS Part 1: A Diagnosis. Journal of the Royal Society of Medicine 95:223-226.

                       Derrett S, Devlin, N, Harrison, A. (2002) Waiting in the NHS Part 2: A change of prescription. Journal of the Royal Society of Medicine 95:280-283.

                       Adam, B., Buckingham, K., Devlin, N.  (2002) Developing an integrated approach to priority setting and planning in New Zealand’s new health system. Health Manager  8 (4) 4-6.

                       Devlin, N., Hansen, P. (2001) Health care spending and economic output: Granger causality. Applied Economics Letters 8:561-564.

                       Devlin, N., Maynard, A., Mays, N. (2001) New Zealand’s new health sector reforms: Back to the future? British Medical Journal 322:1171-1174.

                       Marriott, A., Harding, W., Devlin, N, Benwell, G. (2001) The delivery of orthodontic care in New Zealand, Part 1: Analysis of a census of orthodontists. New Zealand Dental Journal 97(429):87-92.

                       Marriott, A., Harding, W., Devlin, N, Benwell, G. (2001) The delivery of orthodontic care in New Zealand, Part 2: Analysis of a survey of general dentists. New Zealand Dental Journal 97(430):120-7.

                       Robertson, M.C., Devlin, N., Scuffham, P., Gardner, M., Buchner, D.M., Campbell, A.J. (2001) Economic evaluation of a community based exercise programme to prevent falls. Journal of Epidemiology and Community Health 55:600-606.

                       Robertson, M.C., Devlin, N., Gardner, M., Campbell, A.J. (2001) Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 1: results of a randomised controlled trial, British Medical Journal  322(7288):697-701.

                       Robertson, M.C., Devlin, N., Gardner, M., Campbell, A.J. (2001) Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 2: Results of a controlled trial in multiple centres, British Medical Journal  322(7288):701-704.

Robertson, M.C., Devlin, N., Campbell, A.J (2001) Preventing Injuries in Elderly People by Preventing Falls: a Meta-analysis of Individual Level Data, Journal of the American Geriatric Society 50(5):905-11. 

                       Ashton, T., Devlin, N, Cumming, J. (2000) Priority setting in New Zealand – translating principles into practice, Journal of Health Services Policy and Research 5(3):170-175

                       Devlin, N., Hansen, P., Herbison, P. (2000) Variations in self-reported health status: results from a New Zealand survey, New Zealand Medical Journal 113(1123):517-20.

              2. Books & book chapters 2000- 2008

 

Published in May 2007:  Morris S, Devlin N, Parkin D. (2007) Economic Analysis in Health Care. London: Wiley.

Comprehensive companion website now available, including: animated slides; classroom exercises, essay questions and marking guides.

“You and your colleagues have done a splendid job.  I think you have chosen a level of exposition that is just right for many students and that your book will prove extremely useful to those who know some economics but not much about health care and those with the opposite background. ”  Victor Fuchs, Stanford University.

Published in January 2007: Szende, A., Oppe, M., Devlin, N. (2007) EQ-5D valuation sets: an inventory, comparative review and users' guide. Springer.

‘This short volume will be of great value to methodologists seeking to understand the valuation systems that underlie the EQ-5D.  Its user-friendly organization will assist analysts and other members of the health services research community in determining appropriate valuation sets for studies that rely on the EuroQol instrument.’

Marthe Gold, Professor of Community Health and Social Medicine, City University of New York Medical School, US.

 

‘This book usefully draws together, for the first time, information on the EuroQol Group's value sets of estimated utilities around the world. An important contribution of this book is that analysts now can - and should - use its reporting of the many value sets available to check the extent to which an estimate of the QALY gain of an intervention varies when different sets of estimated utilities are used’.

Alastair Fischer, Health Economist, National Institute for Health and Clinical Excellence (NICE), UK.

 

'Finally!  EuroQoL value sets all in one place, together with some guidance on how to put them to best effect.  A handy reference to keep in reach'.

Matthew Brougham, Acting Chief Executive, the Pharmaceutical Management Agency of New Zealand (PHARMAC).

 

 

Mays, N., Devlin, N.  (2005) The public private mix for health: New Zealand. Chapter in: Maynard, A (ed) The public private mix for health Radcliffe Press.   

How Much Spend

 

 

 

Appleby, J., Devlin, N., Dawson, D. (2004) Modelling health care spending in the NHS: issues and challenges. London: Office for Health Economics/King's Fund.

Devlin, N., Hansen, P. (2004) Who shall live and who shall die? Rationing health care in New Zealand. Chapter 3 in: Hansen, P., King, A (eds) Keeping economics real: New Zealand economic issues. Pearson.

 

 

 

Appleby, J,  Harrison, A., Devlin, N. (2003) What is the real cost of more patient choice?  London: King's Fund.

 

 

 

 

Brooks, R., Coons, J., De Cock, P., Devlin, N.,  De Weert, W., Hansen, P et al. (2003)   EQ-5D in selected countries around the world.  Chapter 13 in: Brooks, R.G., De Charro, F. The measurement and valuation of health status  using the EQ-5D, Kluwer.

Towse, A., Devlin, N., Pritchard, C. (eds) (2002) Cost effectiveness thresholds: economic and ethical issues. London: King’s Fund/OHE.

 

 

 

 

 

Parkin, D., Devlin, N. (2002) Measuring efficiency in dental care. Chapter 14 in: Scott, A., Maynard, A., Elliot, B (eds) Advances in Health Economics. Wiley. 


 

3. Other publications 2000- 2008

 

House of Commons Select Committee Inquiry on NICE (2007): See the written evidence submitted by Devlin, Parkin and Appleby.

 

Buckingham, K., Devlin, N. (2007) An exploration of the marginal utility of time in health. Paper presented at the Health Economics Study group meeting at Birmingham University, January 4-7th.

 

Appleby J, Devlin N, Parkin D, Buxton M, Chalkidou K. (2007) Searching for local NHS cost effectiveness thresholds: results from a feasibility study. Report presented to NICE October 26th. 

 

Burge, P, Devlin, N, Appleby J, Gallo F, Nason E, Ling T. (2006) Understanding patients’ choices at the point of referral. Technical report TR359-DOH, Cambridge: RAND Europe.

 

Dimakou S, Parkin D, Devlin N, Appleby J. (2006) The impact of government targets on waiting times for elective surgery: new insights from time-to-event analysis Discussion Paper 06/05, Economics Department, City University.

 

Sadique Z, Edmunds W J, Devlin N, Parkin D (2005) Understanding individuals' decisions about vaccination: a comparison between Expected Utility and Regret Theory models Economics Discussion Paper 05/03, Economics Department, City University.

 

 

Appleby, J., Smith, A., Devlin, N., Parkin, D. (2005) Effects on activity and waiting times of a fixed-price activity-based reimbursement system for English NHS hospitals. 5th iHEA World Congress, Barcelona, July 2005. [Note: this research was awarded the conference poster prize]

 

            Measuring success in the NHS 

This report by Appleby and Devlin (2004), commissioned by Dr Foster, considers the feasibility of measuring the performance of the health service in terms of patients' health related quality of life (HRQoL).

 

 

Parkin D, Devlin N. (2004) Is there a case for using Visual Analogue Scale valuations in Cost Utility Analysis? Economics Discussion Paper 04/03, City University.

Buckingham K., Devlin N, Tabberer M. (2004) A theoretical framework for TTO valuations and a taxonomy of TTO approaches: results from a pilot study. Economics Discussion Paper 04/07, City University.

Devlin N. Information, consumer search and choice in healthcare. Presentation to the Social Market Foundation,  London, October 12th 2004.

George E., Kirsch J, Devlin N. (2004) Estimating health state valuations for RLS. Paper presented at the 2004 European Health Economics Conference, LSE, 10 September 2004.

Burge P, Devlin N, Appleby J, Rohr C, Grant J. Do patients always prefer shorter waiting times? A discrete choice analysis of patients' preferences in the London Patient Choice Project. Paper presented at the 2004 European Health Economics Conference, LSE, 11 September 2004. 

Appleby J, Boyle S, Devlin N, Harrison A, Locock L. (2003) Catch up, keep up: a 'how to' guide to meeting waiting times targets. Health Service Journal 3 April, 24-27.

Appleby J, Boyle S, Devlin N, Harley M, Harrison, A., Locock, L. (2003) Sustaining reductions in waiting times: identifying successful strategies. Report commissioned by the Department of Health Policy Directorate.

Devlin N, Hansen P, Macran S. (2002) A "new and improved" EQ-5D valuation questionnaire? Results from a pilot study. In: Kind, P., Macran, S. (eds) 19th Scientific Meeting of the EuroQol Group: Discussion Papers. Centre for Health Economics, University of York.

Appleby J, Devlin N., Deeming, S., Harrison, T. (2002) This little piggy...the new NHS internal market. Health Service Journal, 15 August, 24-29. 

Devlin N, Appleby J. (2002) Equity in healthcare. Health Service Journal, 22 November, p.27.  

Devlin N, Hansen P, Selai C. (2001)  Respondents’ perceptions of an EQ-5D valuation questionnaire: insights from a self-completed VAS survey. Paper presented to the 18th Scientific Plenary of the EuroQol Group, Copenhagen, Denmark, September 6-8.  

Devlin N, Hansen P. (2000) Allocating Vote:Health: 'Needs Assessment' and an economics-based approach. Treasury Working Paper 00/4. Wellington: The Treasury.

                       Buckingham K., Devlin N, Hansen P (2000) Does it matter whose valuations are used to estimate health state tariffs, and which tariffs are used in CUA? Part 1: The effect of background variables on New Zealanders’ health state valuations; Part 2: A comparison of New Zealand and United Kingdom health state tariffs and implications for CUA. Paper presented to the 17th Scientific Plenary of the EuroQol Group, Pamplona, Spain, September 28-30.  

 

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