Alistair Mcguire
Dados Biográficos
| ID | 291951 |
|---|---|
| NOME | Alistair Mcguire |
| PRENOMES | Alistair |
| SOBRENOME | Mcguire |
| ASSINATURA | MCGUIRE A |
| AFILIAÇÕES | London School of Economics and Political Science |
| ORCID | 0000-0002-5367-9841 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 24 |
| TOTAL DE CITAÇÕES | 64 |
| TOTAL COMO AUTOR | 24 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1982 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 4 |
Health system sustainability and resilience
Valuing health system resilience
A conceptual framework to assess the health, socioeconomic and environmental burden of chronic kidney disease
Chronic kidney disease (CKD) is a global health challenge that affects patients, caregivers, healthcare systems, the environment and national economies. Despite its far-reaching impact, there is no framework to systematically evaluate national CKD prevention and management programmes or evaluate the societal burden of disease. This paper has two objectives: first, to introduce a comprehensive framework to assess national programmes, which recogni…
What happens when the tasks dry up? Exploring the impact of medical technology on workforce planning
Human mobility increased with vaccine coverage and attenuated the protection of Covid-19 vaccination
Background: The World Health Organization has raised concerns that vaccinated people may reduce physical and social distancing more than necessary. With imperfect vaccine protection and the lifting of mobility restrictions, understanding how human mobility responded to vaccination and its potential consequence is critical. We estimated vaccination-induced mobility (VM) and examined whether it attenuates the effect of COVID-19 vaccination on contr…
The diffusion of robotic surgery
This paper examines the adoption and diffusion of medical technology as associated with the dramatic recent increase in the surgical use of robots. We consider specifically the sequential adoption and diffusion patterns of three interrelated surgical technologies within a single healthcare system (the English NHS): robotic, laparoscopic and open radical prostatectomy. Robotic and laparoscopic techniques are minimally invasive procedures with simi…
Promoting innovation while controlling cost
New technologies, including pharmaceuticals and medical devices, can improve treatment options in healthcare but also bring concerns about rising healthcare costs. We undertake a narrative review of the United Kingdom's (UK) approach to appraising new health technologies. We find that the National Institute for Health and Care Excellence (NICE), Scottish Medicines Consortium (SMC) and All Wales Medicines Strategy Group (AWMSG) have contributed to…
Patient access to health care and medicines across low-income countries
Analysis of prices paid by low-income countries - how price sensitive is government demand for medicines
Government demand for medicines thus appears to be price elastic, raising important policy implications aimed at improving access to medicines for patients in low-income countries
Does Hospital Competition Save Lives? Evidence from the English NHS Patient Choice Reforms
Recent substantive reforms to the English National Health Service expanded patient choice and encouraged hospitals to compete within a market with fixed prices. This study investigates whether these reforms led to improvements in hospital quality. We use a difference-in-difference-style estimator to test whether hospital quality (measured using mortality from acute myocardial infarction) improved more quickly in more competitive markets after the…
Qalys
Regulating Providers’ Reimbursement in a Mixed Market for Health Care
Hospitals can be reimbursed for their costs in many ways. Several authors have investigated the effects of these reimbursement rules on physician incentives and, therefore, on the quantity of services provided to patients. A form of (linear) cost‐sharing tends to emerge as the socially efficient reimbursement policy. We present a model of hospital reimbursement, based on Ellis and McGuire (1986). The new feature is that physicians can supply priv…
The Analysis of Censored Treatment Cost Data in Economic Evaluation
This article investigates the way in which the presence of censored cost data in clinical trials should dictate the inferential tests adopted when comparing treatment and nontreatment groups for the purpose of economic evaluation. The authors argue that the techniques of survival analysis are appropriate where censoring is present, and that bias will be imparted if cruder methods are used to analyze cost data, even if that data is drawn from a re…
State Intervention in Medical Care
The measurement of hospital efficiency
Incoming Industry and Structural Change
The Role of the Test Discount Rate in the NHS
In this paper we consider the role of the Test Discount Rate, as recommended by the UK Treasury, in the NHS. We do not intend to discuss the mechanics of discounting. Rather the purpose of the paper is to consider some of the theoretical difficulties associated with the practice of discounting in the public sector generally and the NHS specifically, in the light of the officially endorsed rationale for the use of the TDR in the UK. We believe tha…
The measurement of hospital efficiency
Who Gains from Structural Change? The Distribution of the Benefits of Oil in Aberdeen
This paper analyses the distributional impact of oil upon the Aberdeen economy. It is suggested that the benefits of oil related activity have been very unevenly distributed. Increased real earnings have been mainly confined to groups active in the oil sector. For others, including most women, real earnings remain below the national average. The wealth which oil related activity has brought to Aberdeen has been partly diffused through the housing…
Ethics and resource allocation
The theory of the hospital
The Regional Income and Employment Impacts of Nuclear Power Stations
Electricity Pricing
Journal Article Electricity Pricing: Theory and Case Studies Get access Electricity Pricing: Theory and Case Studies. By M. Munasingheand J. Warford. Baltimore, London: John Hopkins University Press for the World Bank. 381 pp. Index. £17.00. A. McGuire A. McGuire 1University of Aberdeen Search for other works by this author on: Oxford Academic Google Scholar International Affairs, Volume 59, Issue 2, Spring 1983, Page 280, https://doi.org/10.2307…
Excess Capacity and the Demand for Electricity in Scotland
Does Hospital Competition Save Lives? Evidence from the English NHS Patient Choice Reforms
Recent substantive reforms to the English National Health Service expanded patient choice and encouraged hospitals to compete within a market with fixed prices. This study investigates whether these reforms led to improvements in hospital quality. We use a difference-in-difference-style estimator to test whether hospital quality (measured using mortality from acute myocardial infarction) improved more quickly in more competitive markets after the…
The Regional Income and Employment Impacts of Nuclear Power Stations
The measurement of hospital efficiency
Patient access to health care and medicines across low-income countries
Incoming Industry and Structural Change
Who Gains from Structural Change? The Distribution of the Benefits of Oil in Aberdeen
This paper analyses the distributional impact of oil upon the Aberdeen economy. It is suggested that the benefits of oil related activity have been very unevenly distributed. Increased real earnings have been mainly confined to groups active in the oil sector. For others, including most women, real earnings remain below the national average. The wealth which oil related activity has brought to Aberdeen has been partly diffused through the housing…
Regulating Providers’ Reimbursement in a Mixed Market for Health Care
Hospitals can be reimbursed for their costs in many ways. Several authors have investigated the effects of these reimbursement rules on physician incentives and, therefore, on the quantity of services provided to patients. A form of (linear) cost‐sharing tends to emerge as the socially efficient reimbursement policy. We present a model of hospital reimbursement, based on Ellis and McGuire (1986). The new feature is that physicians can supply priv…
Ethics and resource allocation
Electricity Pricing
Journal Article Electricity Pricing: Theory and Case Studies Get access Electricity Pricing: Theory and Case Studies. By M. Munasingheand J. Warford. Baltimore, London: John Hopkins University Press for the World Bank. 381 pp. Index. £17.00. A. McGuire A. McGuire 1University of Aberdeen Search for other works by this author on: Oxford Academic Google Scholar International Affairs, Volume 59, Issue 2, Spring 1983, Page 280, https://doi.org/10.2307…
Excess Capacity and the Demand for Electricity in Scotland
The Regional Income and Employment Impacts of Nuclear Power Stations
Electricity Pricing
Journal Article Electricity Pricing: Theory and Case Studies Get access Electricity Pricing: Theory and Case Studies. By M. Munasingheand J. Warford. Baltimore, London: John Hopkins University Press for the World Bank. 381 pp. Index. £17.00. A. McGuire A. McGuire 1University of Aberdeen Search for other works by this author on: Oxford Academic Google Scholar International Affairs, Volume 59, Issue 2, Spring 1983, Page 280, https://doi.org/10.2307…
The theory of the hospital
Who Gains from Structural Change? The Distribution of the Benefits of Oil in Aberdeen
This paper analyses the distributional impact of oil upon the Aberdeen economy. It is suggested that the benefits of oil related activity have been very unevenly distributed. Increased real earnings have been mainly confined to groups active in the oil sector. For others, including most women, real earnings remain below the national average. The wealth which oil related activity has brought to Aberdeen has been partly diffused through the housing…
Ethics and resource allocation
Incoming Industry and Structural Change
The Role of the Test Discount Rate in the NHS
In this paper we consider the role of the Test Discount Rate, as recommended by the UK Treasury, in the NHS. We do not intend to discuss the mechanics of discounting. Rather the purpose of the paper is to consider some of the theoretical difficulties associated with the practice of discounting in the public sector generally and the NHS specifically, in the light of the officially endorsed rationale for the use of the TDR in the UK. We believe tha…
The measurement of hospital efficiency
The measurement of hospital efficiency
State Intervention in Medical Care
The Analysis of Censored Treatment Cost Data in Economic Evaluation
This article investigates the way in which the presence of censored cost data in clinical trials should dictate the inferential tests adopted when comparing treatment and nontreatment groups for the purpose of economic evaluation. The authors argue that the techniques of survival analysis are appropriate where censoring is present, and that bias will be imparted if cruder methods are used to analyze cost data, even if that data is drawn from a re…
Regulating Providers’ Reimbursement in a Mixed Market for Health Care
Hospitals can be reimbursed for their costs in many ways. Several authors have investigated the effects of these reimbursement rules on physician incentives and, therefore, on the quantity of services provided to patients. A form of (linear) cost‐sharing tends to emerge as the socially efficient reimbursement policy. We present a model of hospital reimbursement, based on Ellis and McGuire (1986). The new feature is that physicians can supply priv…
Qalys
Does Hospital Competition Save Lives? Evidence from the English NHS Patient Choice Reforms
Recent substantive reforms to the English National Health Service expanded patient choice and encouraged hospitals to compete within a market with fixed prices. This study investigates whether these reforms led to improvements in hospital quality. We use a difference-in-difference-style estimator to test whether hospital quality (measured using mortality from acute myocardial infarction) improved more quickly in more competitive markets after the…
Analysis of prices paid by low-income countries - how price sensitive is government demand for medicines
Government demand for medicines thus appears to be price elastic, raising important policy implications aimed at improving access to medicines for patients in low-income countries
Patient access to health care and medicines across low-income countries
The diffusion of robotic surgery
This paper examines the adoption and diffusion of medical technology as associated with the dramatic recent increase in the surgical use of robots. We consider specifically the sequential adoption and diffusion patterns of three interrelated surgical technologies within a single healthcare system (the English NHS): robotic, laparoscopic and open radical prostatectomy. Robotic and laparoscopic techniques are minimally invasive procedures with simi…
Promoting innovation while controlling cost
New technologies, including pharmaceuticals and medical devices, can improve treatment options in healthcare but also bring concerns about rising healthcare costs. We undertake a narrative review of the United Kingdom's (UK) approach to appraising new health technologies. We find that the National Institute for Health and Care Excellence (NICE), Scottish Medicines Consortium (SMC) and All Wales Medicines Strategy Group (AWMSG) have contributed to…
Human mobility increased with vaccine coverage and attenuated the protection of Covid-19 vaccination
Background: The World Health Organization has raised concerns that vaccinated people may reduce physical and social distancing more than necessary. With imperfect vaccine protection and the lifting of mobility restrictions, understanding how human mobility responded to vaccination and its potential consequence is critical. We estimated vaccination-induced mobility (VM) and examined whether it attenuates the effect of COVID-19 vaccination on contr…
What happens when the tasks dry up? Exploring the impact of medical technology on workforce planning
A conceptual framework to assess the health, socioeconomic and environmental burden of chronic kidney disease
Chronic kidney disease (CKD) is a global health challenge that affects patients, caregivers, healthcare systems, the environment and national economies. Despite its far-reaching impact, there is no framework to systematically evaluate national CKD prevention and management programmes or evaluate the societal burden of disease. This paper has two objectives: first, to introduce a comprehensive framework to assess national programmes, which recogni…
Health system sustainability and resilience
Valuing health system resilience
Economics (15 obras) · Medicine (12 obras) · Healthcare Policy and Management (11 obras) · Computer Science (9 obras) · Business (8 obras) · Health care (8 obras) · Global Health Care Issues (7 obras) · Health Systems, Economic Evaluations, Quality of Life (7 obras) · Political science (7 obras) · Economic growth (6 obras)