Author | Lightnews

Andrew Partington @arpartington.bsky.social · 1d

Meanwhile ... www.afr.com/policy/tax-a...

Andrew Partington @arpartington.bsky.social · 2d

Would be great if some of any additional MRFF funding were ring-fenced for health services and health systems research. So far, it's just been doubling up the aims of the NHMRC.

Dr Monique Ryan @mon4kooyong.bsky.social · 2d

Australia’s MRFF is sitting on billions of taxpayers’ dollars which was meant to be invested in world-leading, lifesaving health innovations.

Andrew Partington @arpartington.bsky.social · 2d

Universal childcare?
"Start putting public money into publicly run centres ... anything less than that, I think is just negligent".
open.spotify.com/episode/5ogZ...

The woman who exposed the childcare industry

open.spotify.com

Andrew Partington @arpartington.bsky.social · 6d

SVHM is adding value to the system. Those who opposed it are not. While some frame this as an equity-only issue & feel aggrieved by it, the reality is also economic: improving outcomes at low cost expands system capacity, benefiting all of us.

Dr Neil & Mr Price @drneil.bsky.social · 10d

It’s called triage bitch

the prioritising of patients according to clinical risk …read a book

I don’t really follow the herald scum but I suspect that even for them this is a low

Lead article on their website…also the top front page at the newsstand

Race row erupts as Indigenous patients given priority at major
Melbourne hospital
Indigenous patients are receiving fast-tracked care over other sick Victorians at St Vincent's Hospital's emergency department, sparking allegations of discrimination and the "first glimpse" of what the

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Andrew Partington @arpartington.bsky.social · Mar 6

Prof. Jack Dowie shows how it was optimal for Humpty Dumpty to sit on the wall.
www.easybest.org.uk/presentations/, taken from his Nov 2018 seminar "Deciding how to decide".
#decisionanalysis #healtheconomics

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Andrew Partington @arpartington.bsky.social · Feb 21

"The happy compromise" on healthcare in Australia.

An oldie but a goodie from Ron Tandberg that's still relevant to #auspol, today.

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Health Economics @hec-wiley.bsky.social · Sep 30

📈 Once niche, health economics is now central to the field.

A new study shows its share in top journals tripled since the 1990s—driven not by conformity, but by innovative, high-quality research.

Health is shaping the future of economics.

Early View

The Rise of Health Economics: Transforming the Landscape of Economic Research

tinyurl.com

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Andrew Partington @arpartington.bsky.social · Sep 29

Bravo @squigglyrick.bsky.social 👏 👏

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Antoine Vernet @antoinevernet.com · Sep 23

I know nothing matters anymore, but I feel that the answer should really be in the title. You know, because people will not read the article but remember the question and think that if it was a ridiculous question we would not ask it in the first place...

A Guardian article titled: "Is paracetamol safe during pregnancy and does it have links to autism?"

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Andrew Partington @arpartington.bsky.social · Sep 22

Should we scrap private health insurance rebates and direct the funding to public hospitals?
theconversation.com/should-we-sc...

Should we scrap private health insurance rebates and direct the funding to public hospitals?

The government has subsidised Australians’ private health insurance premiums since the 1990s. But is the policy delivering? Here’s what the evidence says.

theconversation.com

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Andrew Partington @arpartington.bsky.social · Sep 12

Amazing evidence-based thread. A must read to help cut through the crap ideologies of health system funding reforms.

Hugh Alderwick @hughalderwick.bsky.social · Jul 23

Policy exchange, backed by Sajid Javid, think we need to switch the NHS funding model to social insurance, and introduce new charges for NHS services, like to see a GP

policyexchange.org.uk/publication/...

These are not new ideas, but they are bad ideas

A thread with some evidence

The NHS – a Suitable Case for Treatment? - Policy Exchange

Download Publication Online Reader ‘The NHS – a Suitable Case for Treatment?’ makes the case that the NHS is not fit for purpose and is in urgent need of reform.The report finds that NHS performance r...

policyexchange.org.uk

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Antoine Vernet @antoinevernet.com · Sep 10

Deep down in the entrails of every large company, there is a single person copying cells from one spreadsheet onto another spreadsheet one by one and if they stop the company collapses #orgdesign

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Andrew Partington @arpartington.bsky.social · Sep 8

"Don’t trade off your fourth aim for some reduction in your ambition around the triple-aim" .. I still find this the most helpful articulation of the challenges with pursuing inputs to systems, as outcomes in and of themselves. www.ihi.org/library/blog... #quadrupleaim #quintubleaim #tripleaim #IHI

The Triple Aim or the Quadruple Aim? Four Points to Help Set Your Strategy

Why It MattersIHI's Derek Feeley shares his advice regarding the strategic use of the Quadruple Aim. Over the last few years, people from all over the world have often asked me the same question: Why ...

www.ihi.org

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Ben Williamson @benpatrickwill.bsky.social · Sep 6

Academic authors, here's a peek into the black box of journal publishing from an journal editor if you can bear it:

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JAMA @jama.com · Sep 7

Viewpoint: To effectively reduce drug costs, the US needs its own price negotiation framework rather than relying on international benchmarks, as proposed by the Trump administration.

ja.ma/46auqa3

A JAMA article titled, "Lowering Drug Prices in the US—Look Within, Not Abroad" includes a bar graph that compares retail pharmaceutical spending as a proportion of total health expenditures in the US and other countries, 2022.

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Andrew Partington @arpartington.bsky.social · Sep 2

@nickdmiller.bskt.social shows us the level of analysis needed prior to reporting on publications, particularly those by peak bodies and lobby groups that don't pass any sort of peer review.

I provided comments to the ABC RN but only had 30 mins to read the report ..
www.abc.net.au/listen/progr...

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Madhu Pai, MD, PhD @madhupai.bsky.social · Aug 26

We can’t save global health without saving democracy

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Andrew Partington @arpartington.bsky.social · Aug 22

#auspol

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Andrew Partington @arpartington.bsky.social · Aug 22

Important reflections by @meganwarin.bsky.social on how precarious research funding partnerships push researchers to gloss over conflict and simply present positive narratives. Academics accept a perfunctory role to avoid being marginalised and debased. www.tandfonline.com/doi/full/10....

Epistemic conflicts and Achilles’ heels: constraints of a university and public sector partnership to research obesity in Australia

This paper examines the multiple tensions arising in an Australian university and public sector collaboration that aimed to investigate an obesity intervention. A key site of conflict with the exte...

www.tandfonline.com

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Andrew Partington @arpartington.bsky.social · Jul 24

An oldie & a goodie from @prof-nancy-devlin.bsky.social on routine PROMs collection - I gather it was a little controversial when published because it showed differences in outcomes by providers, demonstrating how EQ5D can be used in improvement/incentives. onlinelibrary.wiley.com/doi/abs/10.1...

Patient‐reported outcome measures in the NHS: new methods for analysing and reporting EQ‐5D data

In a landmark move, the UK Department of Health (DH) has introduced the routine collection of patient-reported outcome measures (PROMs) to measure the performance of health-care providers. From April...

onlinelibrary.wiley.com

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Andrew Partington @arpartington.bsky.social · Jul 8

The 3Ps of government policy - Poetry, Prose, & Plumbing. @geoffmulgan.bsky.social explains why British politics' lack of interest in how things work explains why many things don't.
open.substack.com/pub/geoffmul...

In praise of plumbing

Why British politics' lack of interest in how things work explains why many things don't

open.substack.com

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Andrew Partington @arpartington.bsky.social · Jul 2

I love this

Andrew Partington @arpartington.bsky.social · Jun 28

Great taxonomy of simple vs. complex (complicated?) decision-analytic model features.
drugrepocentral.scienceopen.com/hosted-docum...

<b>Can we Make Health Economic Decision Models as Simple as Possible, but Not Simpler? Introducing the SMART tool </b>

<p xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" class="first" dir="auto" id="d557661e165">Background: Developing health economic decision-analytic models (DAMs) requires making mo...

drugrepocentral.scienceopen.com

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Andrew Partington @arpartington.bsky.social · Jun 25

"Value-based healthcare is the equitable, sustainable and transparent use of the available resources to achieve better outcomes and experiences for every person".

Thanks to the Centre for EBM at @ox.ac.uk for shielding us from Porter’s US-centric #VBHC pitfalls.

www.cebm.ox.ac.uk/resources/re...

Defining value-based healthcare in the NHS

Value-based healthcare is the equitable, sustainable and transparent use of the available resources to achieve better outcomes and experiences for every person. Published April 2019.

www.cebm.ox.ac.uk

Andrew Partington @arpartington.bsky.social · Jun 10

This study developed a final set of 16 proposed benchmarking
indicators and a definition for Virtual Emergency Departments, following a three-round Delphi study across four new Australian services #emergencymedicine #HSR #digitalhealth