Kathryn Antioch
Monash University
GovernmentHealth carePopulation healthHealth economicsMedicine
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Publications 12
#1Kathryn Antioch (Monash University)H-Index: 4
#2Michael Drummond (Ebor: University of York)H-Index: 73
Last. Hindrik VondelingH-Index: 14
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Economic evidence is influential in health technology assessment world-wide. Clinical Practice Guidelines (CPG) can enable economists to include economic information on health care provision. Application of economic evidence in CPGs, and its integration into clinical practice and national decision making is hampered by objections from professions, paucity of economic evidence or lack of policy commitment. The use of state-of-art economic methodologies will improve this. Economic evidence can be ...
7 CitationsSource
#1Rob Baltussen (Radboud University Nijmegen)H-Index: 41
#2Arnab Acharya (Lond: University of London)H-Index: 17
Last. David B. Evans (WHO: World Health Organization)H-Index: 17
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The journal Cost-Effectiveness and Resource Allocation (CERA) is now in its seventh year, and is an excellent example of how open access publishing can improve dissemination. Now the journal is through its infancy, it is time to reflect on its orientation and to define the strategy for the years to come. Firstly, the journal will pay particular attention to stimulating and publishing studies originating from low- and middle-income countries. Second, CERA will continue to solicit contributions or...
1 CitationsSource
#1Kathryn Antioch (National Health and Medical Research Council)H-Index: 4
#2Randall P. Elllis (BU: Boston University)H-Index: 31
Last. Richard Marshall (ANU: Australian National University)H-Index: 1
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This paper explores modified hospital casemix payment formulae that would refine the diagnosis-related group (DRG) system in Victoria, Australia, which already makes adjustments for teaching, severity and demographics. We estimate alternative casemix funding methods using multiple regressions for individual hospital episodes from 2001 to 2003 on 70 high-deficit DRGs, focussing on teaching hospitals where the largest deficits have occurred. Our casemix variables are diagnosis- and procedure-based...
18 CitationsSource
#1Kathryn Antioch (Monash University)H-Index: 4
#2Michael Walsh (Qatar Airways)
At the Australian Federal government level, the NHMRC's framework for integrating economic evidence into CPGs and its guidance for implementation will be discussed. Experience in implementing CPGs and economic evidence across two large Australian hospital networks involving six hospitals for over 34 areas of surgical, medical and rehabilitation CPGs will be considered. This includes the methodology for applying economic evidence in the implementation of CPGs in hospitals through the development ...
#1Kathryn Antioch (Monash University)H-Index: 4
#2M.K. Walsh (Monash University)H-Index: 1
Under Australian casemix funding arrangements that use Diagnosis-Related Groups (DRGs) the average price is policy based, not benchmarked. Cost weights are too low for State-wide chronic disease services. Risk-adjusted Capitation Funding Models (RACFM) are feasible alternatives. A RACFM was developed for public patients with cystic fibrosis treated by an Australian Health Maintenance Organization (AHMO). Adverse selection is of limited concern since patients pay solidarity contributions via Medi...
14 CitationsSource
This paper discusses casemix funding issues in Victoria impacting on teaching hospitals. For casemix payments to beacceptable, the average price and cost weights must be set at an appropriate standard. The average price is based ona normative, policy basis rather than benchmarking. The 'averaging principle' inherent in cost weights has resulted insome AN-DRG weights being too low for teaching hospitals that are key State-wide providers of high complexityservices such as neurosurgery and trauma. ...
8 CitationsSource
The study described in this article sought to develop AN-DRG Version- 3 classificationrevisions for organ transplantation through statistical analyses of recommendations formulatedby the Australian Casemix Clinical Committee. Two separate analyses of variance wereundertaken for AN-DRG Version- 2 and for the proposed Version- 3 AN-DRGs, using averagelength of stay as the dependent variable. The committee made four key recommendationswhich were accepted and incorporated into AN-DRG Versions 3 and ...
2 CitationsSource
#1Kathryn AntiochH-Index: 4
#2Michael K WalshH-Index: 5
Last. Richard BriceH-Index: 1
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This paper specifies an econometric model to forecast State government expenditure on recognised public hospitals in Victoria. The OECD's recent cross-country econometric work exploring factors affecting health spending was instructive. The model found that Victorian Gross State Product, population aged under 4 years, the mix of public and private patients in public hospitals, introduction of case mix funding and funding cuts, the proportion of public beds to total beds in Victoria and technolog...
4 CitationsSource
The study reported in this article sought to develop Australian National Diagnosis Related Groups (AN-DRGs) using endoscopic procedures in Major Diagnostic Category (MDC) 6 (Digestive System) and MDC 7 (Hepatobiliary System and Pancreas) through statistical analysis of the Australian Casemix Clinical Committee's recommendations. Five ANOVA were undertaken on final recommendations for gastroscopy and colonoscopy in MDC 6. The Reduction in Variance (RIV) for the AN-DRGs in version 3 relative to ve...
1 CitationsSource
#1Kathryn AntiochH-Index: 4
#1Kathryn AntiochH-Index: 1
Last. Chris BrookH-Index: 1
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1 Citations