Is an ounce of prevention worth a pound of cure? A cross-sectional study of the impact of English public health grant on mortality and morbidity

Research output: Working paperDiscussion paper

Standard

Is an ounce of prevention worth a pound of cure? A cross-sectional study of the impact of English public health grant on mortality and morbidity. / Martin, Stephen; Lomas, James Richard Scott; Grant, University of York.

York, UK : Centre for Health Economics, University of York, 2019. (CHE Research Paper; No. 166).

Research output: Working paperDiscussion paper

Harvard

Martin, S, Lomas, JRS & Grant, UOY 2019 'Is an ounce of prevention worth a pound of cure? A cross-sectional study of the impact of English public health grant on mortality and morbidity' CHE Research Paper, no. 166, Centre for Health Economics, University of York, York, UK. <https://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP166_Impact_Public_Health_Mortality_Morbidity.pdf>

APA

Martin, S., Lomas, J. R. S., & Grant, U. O. Y. (2019). Is an ounce of prevention worth a pound of cure? A cross-sectional study of the impact of English public health grant on mortality and morbidity. (CHE Research Paper; No. 166). Centre for Health Economics, University of York. https://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP166_Impact_Public_Health_Mortality_Morbidity.pdf

Vancouver

Martin S, Lomas JRS, Grant UOY. Is an ounce of prevention worth a pound of cure? A cross-sectional study of the impact of English public health grant on mortality and morbidity. York, UK: Centre for Health Economics, University of York. 2019 Jul. (CHE Research Paper; 166).

Author

Martin, Stephen ; Lomas, James Richard Scott ; Grant, University of York. / Is an ounce of prevention worth a pound of cure? A cross-sectional study of the impact of English public health grant on mortality and morbidity. York, UK : Centre for Health Economics, University of York, 2019. (CHE Research Paper; 166).

Bibtex - Download

@techreport{76ee77bf85624ff382ef12f43fcefc54,
title = "Is an ounce of prevention worth a pound of cure?: A cross-sectional study of the impact of English public health grant on mortality and morbidity",
abstract = "Most previous attempts to estimate the marginal productivity of English health care expenditure have employed instruments that rely on statistical tests alone for their justification. A new approach to instrumentation has proposed the use of {\textquoteleft}funding rule{\textquoteright} variables as instruments, which can be justified on theoretical grounds. We exploit the availability of a funding formula for local authority (LA) public health expenditure in England to investigate the relationship between such expenditureand mortality. Although there have been many studies of the impact of specific health promotion activities on outcomes, we are not aware of any successful attempts to relate English public health expenditure to mortality. Moreover, by converting healthcare (treatment) expenditure to a local authority geography, we are also able to estimate an outcome specification that includes both treatment (healthcare) and prevention (public health) expenditure. This enables us to identify the relative contribution of both types of expenditure to reductions in mortality. Previously published work has linked effects on disease specific mortality to changes in quality-adjusted life years. We usethese estimates to report the cost per quality-adjusted life year (QALY) for both treatment and public health (prevention) expenditure.",
author = "Stephen Martin and Lomas, {James Richard Scott} and Grant, {University of York}",
year = "2019",
month = jul,
language = "English",
series = "CHE Research Paper",
publisher = "Centre for Health Economics, University of York",
number = "166",
type = "WorkingPaper",
institution = "Centre for Health Economics, University of York",

}

RIS (suitable for import to EndNote) - Download

TY - UNPB

T1 - Is an ounce of prevention worth a pound of cure?

T2 - A cross-sectional study of the impact of English public health grant on mortality and morbidity

AU - Martin, Stephen

AU - Lomas, James Richard Scott

AU - Grant, University of York

PY - 2019/7

Y1 - 2019/7

N2 - Most previous attempts to estimate the marginal productivity of English health care expenditure have employed instruments that rely on statistical tests alone for their justification. A new approach to instrumentation has proposed the use of ‘funding rule’ variables as instruments, which can be justified on theoretical grounds. We exploit the availability of a funding formula for local authority (LA) public health expenditure in England to investigate the relationship between such expenditureand mortality. Although there have been many studies of the impact of specific health promotion activities on outcomes, we are not aware of any successful attempts to relate English public health expenditure to mortality. Moreover, by converting healthcare (treatment) expenditure to a local authority geography, we are also able to estimate an outcome specification that includes both treatment (healthcare) and prevention (public health) expenditure. This enables us to identify the relative contribution of both types of expenditure to reductions in mortality. Previously published work has linked effects on disease specific mortality to changes in quality-adjusted life years. We usethese estimates to report the cost per quality-adjusted life year (QALY) for both treatment and public health (prevention) expenditure.

AB - Most previous attempts to estimate the marginal productivity of English health care expenditure have employed instruments that rely on statistical tests alone for their justification. A new approach to instrumentation has proposed the use of ‘funding rule’ variables as instruments, which can be justified on theoretical grounds. We exploit the availability of a funding formula for local authority (LA) public health expenditure in England to investigate the relationship between such expenditureand mortality. Although there have been many studies of the impact of specific health promotion activities on outcomes, we are not aware of any successful attempts to relate English public health expenditure to mortality. Moreover, by converting healthcare (treatment) expenditure to a local authority geography, we are also able to estimate an outcome specification that includes both treatment (healthcare) and prevention (public health) expenditure. This enables us to identify the relative contribution of both types of expenditure to reductions in mortality. Previously published work has linked effects on disease specific mortality to changes in quality-adjusted life years. We usethese estimates to report the cost per quality-adjusted life year (QALY) for both treatment and public health (prevention) expenditure.

M3 - Discussion paper

T3 - CHE Research Paper

BT - Is an ounce of prevention worth a pound of cure?

PB - Centre for Health Economics, University of York

CY - York, UK

ER -