How health managers think about risk and the implications for portfolio theory in health systems

Shiell, Alan; Hawe, Penelope; Perry, Rosemary; Matthias, Sharon

doi:10.1080/13698570802537029

Cited by 10 publications

(5 citation statements)

References 16 publications

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“…Health care decision-makers must therefore weigh up the uncertainty in outcomes against the potential size of return in population health improvements (or reductions in health expenditure). Although decision-makers in health care are known to be highly risk averse [48] , in the case of these preventive types of interventions to promote fruits and vegetables, the probability of serious unintended outcomes (e.g. loss of life) is very low.…”

Section: Discussionmentioning

confidence: 99%

Cost-Effectiveness of Interventions to Promote Fruit and Vegetable Consumption

2010

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BackgroundFruits and vegetables are an essential part of the human diet, but many people do not consume the recommended serves to prevent cardiovascular disease and cancer. In this research, we evaluate the cost-effectiveness of interventions to promote fruit and vegetable consumption to determine which interventions are good value for money, and by how much current strategies can reduce the population disease burden.Methods/Principal FindingsIn a review of published literature, we identified 23 interventions for promoting fruit and vegetable intake in the healthy adult population that have sufficient evidence for cost-effectiveness analysis. For each intervention, we model the health impacts in disability-adjusted life years (DALYs), the costs of intervention and the potential cost-savings from averting disease treatment, to determine cost-effectiveness of each intervention over the lifetime of the population, from an Australian health sector perspective. Interventions that rely on dietary counselling, telephone contact, worksite promotion or other methods to encourage change in dietary behaviour are not highly effective or cost-effective. Only five out of 23 interventions are less than an A$50,000 per disability-adjusted life year cost-effectiveness threshold, and even the most effective intervention can avert only 5% of the disease burden attributed to insufficient fruit and vegetable intake.Conclusions/SignificanceWe recommend more investment in evaluating interventions that address the whole population, such as changing policies influencing price or availability of fruits and vegetables, to see if these approaches can provide more effective and cost-effective incentives for improving fruit and vegetable intake.

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Section: Discussionmentioning

confidence: 99%

Cost-Effectiveness of Interventions to Promote Fruit and Vegetable Consumption

2010

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“…Purposive sampling of senior marketing executives was undertaken in order to obtain participants who had significant responsibility for SM (Shiell et al, 2009) or a sound knowledge of the implementation of SM within their organisations (Agarwal and Prasad, 1998). Such participants can be considered as "expert" or "key" informants (Kumar et al, 1993;Abaddi et al, 2011).…”

Section: Samplingmentioning

confidence: 99%

Exploring the integration of social media within integrated marketing communication frameworks

Valos

Habibi

Casidy

et al. 2016

Marketing Intelligence &Amp; Planning

111

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Purpose – At present no frameworks exist for services marketers to incorporate social media (SM) within marketing communications planning. The majority of integrated marketing communications (IMC) frameworks were developed prior to the development of the widespread use of digital and SM for information seeking, sales and service. The purpose of this paper is to investigate this issue for services marketers specifically as they differ from FMCG, industrial and durable marketers in terms of marketing messages, branding, media and channels. Furthermore, as they are less reliant on outsourced sale channels they have more potential than other industries to integrate social and digital media to build awareness, brands and sales. Design/methodology/approach – Depth interviews were conducted with eight senior services marketing executives to identify the impact of SM on marketing communications planning, implementation and measurement. Findings – The findings revealed that the unique characteristics of SM (such as interactivity and individualisation, integration of communication and distribution channels, immediacy and information collection) impact traditional marketing communications frameworks. These impacts manifested in 12 modifications specific to services and SM to traditional generic IMC frameworks encompassed by the themes of reach, service channel, word-of-mouth advocacy, consumer generated messages, listening and behavioural measurement. Practical implications – The rapidly evolving nature of SM means senior services marketers need to educate organisational stakeholders regarding implementation issues, which may be a barrier to effective integration of SM within marketing communications. Originality/value – With digital marketing communications budgets reaching 30 per cent within some organisations, it is timely to put forward a marketing communication decision-making framework that first incorporates SM and second is suitable for services marketers.

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“…Along these lines, thinking on portfolio approaches to investment may well help in determining how much to allocate in preparing for future pandemics. 15 The Canadian public has shown remarkable trust in the health system; it is vital that this trust is preserved through meaningful, ongoing, public engagement.…”

Section: Priority Setting Toolsmentioning

confidence: 99%

Addressing prioritization in healthcare amidst a global pandemic

Mitton

Donaldson

Dionne

et al. 2021

Healthc Manage Forum

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Trade-offs abound in healthcare yet depending on where one stands relative to the stages of a pandemic, choice making may be more or less constrained. During the early stages of COVID-19 when there was much uncertainty, healthcare systems faced greater constraints and focused on the singular criterion of “flattening the curve.” As COVID-19 progressed and the first wave diminished (relatively speaking depending on the jurisdiction), more opportunities presented for making explicit choices between COVID and non-COVID patients. Then, as the second wave surged, again decision makers were more constrained even as more information and greater understanding developed. Moving out of the pandemic to recovery, choice making becomes paramount as there are no set rules to lean back into historical patterns of resource allocation. In fact, the opportunity at hand, when using explicit tools for priority setting based on economic and ethical principles, is significant.

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How health managers think about risk and the implications for portfolio theory in health systems

Cited by 10 publications

References 16 publications

Cost-Effectiveness of Interventions to Promote Fruit and Vegetable Consumption

Cost-Effectiveness of Interventions to Promote Fruit and Vegetable Consumption

Exploring the integration of social media within integrated marketing communication frameworks

Addressing prioritization in healthcare amidst a global pandemic

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