Andrew Partington
@arpartington.bsky.social
#HealthEconomics #HealthPolicy #HealthServicesResearch #HTA #auspol
▪︎ Research Fellow, @flindersuniversity.bsky.social & @aihi-mq.bsky.social
▪︎ Deputy Editor, @ijtahc.bsky.social
▪︎ Visiting, l'École des Hautes Études en Santé Publique (l'EHESP)
▪︎ Research Fellow, @flindersuniversity.bsky.social & @aihi-mq.bsky.social
▪︎ Deputy Editor, @ijtahc.bsky.social
▪︎ Visiting, l'École des Hautes Études en Santé Publique (l'EHESP)
Meanwhile ... www.afr.com/policy/tax-a...
November 5, 2025 at 7:46 AM
Meanwhile ... www.afr.com/policy/tax-a...
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.
Australia’s MRFF is sitting on billions of taxpayers’ dollars which was meant to be invested in world-leading, lifesaving health innovations.
November 4, 2025 at 8:21 AM
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.
Universal childcare?
"Start putting public money into publicly run centres ... anything less than that, I think is just negligent".
open.spotify.com/episode/5ogZ...
"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
November 4, 2025 at 8:16 AM
Universal childcare?
"Start putting public money into publicly run centres ... anything less than that, I think is just negligent".
open.spotify.com/episode/5ogZ...
"Start putting public money into publicly run centres ... anything less than that, I think is just negligent".
open.spotify.com/episode/5ogZ...
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.
It’s called triage bitch
the prioritising of patients according to clinical risk …read a book
the prioritising of patients according to clinical risk …read a book
October 31, 2025 at 9:21 AM
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.
Reposted by Andrew Partington
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
www.easybest.org.uk/presentations/, taken from his Nov 2018 seminar "Deciding how to decide".
#decisionanalysis #healtheconomics
March 6, 2025 at 6:50 PM
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
www.easybest.org.uk/presentations/, taken from his Nov 2018 seminar "Deciding how to decide".
#decisionanalysis #healtheconomics
Reposted by Andrew Partington
Reposted by Andrew Partington
📈 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.
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
September 30, 2025 at 6:03 PM
📈 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.
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.
Reposted by Andrew Partington
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...
September 23, 2025 at 8:03 PM
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...
Should we scrap private health insurance rebates and direct the funding to public hospitals?
theconversation.com/should-we-sc...
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
September 22, 2025 at 4:21 AM
Should we scrap private health insurance rebates and direct the funding to public hospitals?
theconversation.com/should-we-sc...
theconversation.com/should-we-sc...
Amazing evidence-based thread. A must read to help cut through the crap ideologies of health system funding reforms.
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
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
September 12, 2025 at 7:00 AM
Amazing evidence-based thread. A must read to help cut through the crap ideologies of health system funding reforms.
Reposted by Andrew Partington
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
September 10, 2025 at 8:18 AM
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
"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
September 8, 2025 at 3:34 PM
"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
Reposted by Andrew Partington
Academic authors, here's a peek into the black box of journal publishing from an journal editor if you can bear it:
September 6, 2025 at 11:09 PM
Academic authors, here's a peek into the black box of journal publishing from an journal editor if you can bear it:
Reposted by Andrew Partington
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
ja.ma/46auqa3
September 7, 2025 at 1:00 PM
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
ja.ma/46auqa3
@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...
I provided comments to the ABC RN but only had 30 mins to read the report ..
www.abc.net.au/listen/progr...
September 2, 2025 at 7:20 AM
@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...
I provided comments to the ABC RN but only had 30 mins to read the report ..
www.abc.net.au/listen/progr...
Reposted by Andrew Partington
We can’t save global health without saving democracy
August 26, 2025 at 2:27 PM
We can’t save global health without saving democracy
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
August 22, 2025 at 10:32 AM
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....
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
July 24, 2025 at 9:35 PM
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...
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...
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
July 8, 2025 at 10:49 AM
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...
open.substack.com/pub/geoffmul...
Great taxonomy of simple vs. complex (complicated?) decision-analytic model features.
drugrepocentral.scienceopen.com/hosted-docum...
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
June 28, 2025 at 3:23 PM
Great taxonomy of simple vs. complex (complicated?) decision-analytic model features.
drugrepocentral.scienceopen.com/hosted-docum...
drugrepocentral.scienceopen.com/hosted-docum...
"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...
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
June 25, 2025 at 10:37 AM
"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...
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...
#NewPaperAlert from our @flindersuniversity.bsky.social team - Developing benchmarking indicators for Australian virtual emergency departments: a Delphi study.
There's a lack of indicators to guide QI activities in virtual emergency medicine, so we developed some.
emj.bmj.com/content/earl... #HSR
There's a lack of indicators to guide QI activities in virtual emergency medicine, so we developed some.
emj.bmj.com/content/earl... #HSR
Developing benchmarking indicators for Australian virtual emergency departments: a Delphi study
Introduction There is a lack of indicators to guide quality improvement activities in virtual emergency medicine internationally. We developed quality indicators for use across a collaboration of four...
emj.bmj.com
June 10, 2025 at 9:57 AM
#NewPaperAlert from our @flindersuniversity.bsky.social team - Developing benchmarking indicators for Australian virtual emergency departments: a Delphi study.
There's a lack of indicators to guide QI activities in virtual emergency medicine, so we developed some.
emj.bmj.com/content/earl... #HSR
There's a lack of indicators to guide QI activities in virtual emergency medicine, so we developed some.
emj.bmj.com/content/earl... #HSR
Reposted by Andrew Partington
🚀 What is early health technology assessment (HTA)?
A working group under @htaiorg.bsky.social defined #earlyHTA for the first time—via a 5-stage process + Delphi survey with 133+ respondents.
Find out more:🔗 Open Access www.cambridge.org/core/journal...
A working group under @htaiorg.bsky.social defined #earlyHTA for the first time—via a 5-stage process + Delphi survey with 133+ respondents.
Find out more:🔗 Open Access www.cambridge.org/core/journal...
DEFINING EARLY HEALTH TECHNOLOGY ASSESSMENT: BUILDING CONSENSUS USING DELPHI TECHNIQUE | International Journal of Technology Assessment in Health Care | Cambridge Core
DEFINING EARLY HEALTH TECHNOLOGY ASSESSMENT: BUILDING CONSENSUS USING DELPHI TECHNIQUE
www.cambridge.org
June 6, 2025 at 3:00 AM
🚀 What is early health technology assessment (HTA)?
A working group under @htaiorg.bsky.social defined #earlyHTA for the first time—via a 5-stage process + Delphi survey with 133+ respondents.
Find out more:🔗 Open Access www.cambridge.org/core/journal...
A working group under @htaiorg.bsky.social defined #earlyHTA for the first time—via a 5-stage process + Delphi survey with 133+ respondents.
Find out more:🔗 Open Access www.cambridge.org/core/journal...
“The paper by Grutters et al. on the definition of eHTA and its explanatory narrative helps to recapture the originally intended broad scope of technology assessment and place it into a contemporary context ...” - Clifford Goodman
@htaiorg.bsky.social
www.cambridge.org/core/journal...
@htaiorg.bsky.social
www.cambridge.org/core/journal...
June 4, 2025 at 8:31 AM
“The paper by Grutters et al. on the definition of eHTA and its explanatory narrative helps to recapture the originally intended broad scope of technology assessment and place it into a contemporary context ...” - Clifford Goodman
@htaiorg.bsky.social
www.cambridge.org/core/journal...
@htaiorg.bsky.social
www.cambridge.org/core/journal...
Early HTA is ".. a health technology assessment conducted to inform decisions about subsequent development, research and/or investment by explicitly evaluating the potential value of a conceptual or actual health technology”
@ijtahc.bsky.social @htaiorg.bsky.social www.cambridge.org/core/journal...
@ijtahc.bsky.social @htaiorg.bsky.social www.cambridge.org/core/journal...
DEFINING EARLY HEALTH TECHNOLOGY ASSESSMENT: BUILDING CONSENSUS USING DELPHI TECHNIQUE | International Journal of Technology Assessment in Health Care | Cambridge Core
DEFINING EARLY HEALTH TECHNOLOGY ASSESSMENT: BUILDING CONSENSUS USING DELPHI TECHNIQUE
www.cambridge.org
June 2, 2025 at 1:45 PM
Early HTA is ".. a health technology assessment conducted to inform decisions about subsequent development, research and/or investment by explicitly evaluating the potential value of a conceptual or actual health technology”
@ijtahc.bsky.social @htaiorg.bsky.social www.cambridge.org/core/journal...
@ijtahc.bsky.social @htaiorg.bsky.social www.cambridge.org/core/journal...