@SimonRDodds @amcunningham The purpose is to restore decisions on allocative efficiency to frontline staff. To focus on outcomes we must...
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Als antwoord op @JonMarcStanley
@JonMarcStanley@amcunningham That is a process - to do something - a verb. A purpose is what you get - a noun. What do you want to get?1 antwoord 0 retweets 0 vind-ik-leuks -
Als antwoord op @SimonRDodds
@SimonRDodds@amcunningham Real time, discrete, professional decision making free of targets, Pareto efficiency if you like.1 antwoord 0 retweets 0 vind-ik-leuks -
Als antwoord op @JonMarcStanley
@JonMarcStanley@amcunningham Vilfredo Pareto was not an engineer he was an economist. Decision making is a process. What is the purpose?1 antwoord 0 retweets 0 vind-ik-leuks -
Als antwoord op @SimonRDodds
@SimonRDodds@amcunningham Political decisions in healthcare near always in terms of allocative and technical efficiency; rarely technique1 antwoord 0 retweets 0 vind-ik-leuks -
Als antwoord op @JonMarcStanley
@JonMarcStanley@amcunningham Sorry you lost me with the jargon - what is the definition of "allocative and technical efficiency"?1 antwoord 0 retweets 0 vind-ik-leuks -
Als antwoord op @SimonRDodds
@SimonRDodds@amcunningham Crudely put...allocative...where best to spend the money technical....which treatment is most efficient ie QALYs1 antwoord 0 retweets 0 vind-ik-leuks -
Als antwoord op @JonMarcStanley
@JonMarcStanley@amcunningham Are you talking about the the required effectiveness and efficiency? That sounds more like a design purpose.2 antwoorden 0 retweets 0 vind-ik-leuks -
Als antwoord op @SimonRDodds
@SimonRDodds@amcunningham No, the difference between effectiveness and efficiency is discrete.1 antwoord 0 retweets 0 vind-ik-leuks -
Als antwoord op @JonMarcStanley
@JonMarcStanley@amcunningham Define "discrete" in this context? Sounds like horseshit to me so far.2 antwoorden 0 retweets 0 vind-ik-leuks
@SimonRDodds @amcunningham This forms the basis for health technology appraisals; whether effective treatments should be funded
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