Equity, waiting times, and NHS reforms: retrospective study (2009)
Cooper, Zachary N., McGuire, Alistair, Jones, S., Le Grand, Julian
Objective: To determine whether observable changes in waiting times occurred for certain key elective procedures between 1997 and 2007 in the English National Health Service and to analyse the...
Cost-effectiveness of stroke unit care followed by early supported discharge (2009)
Saka, Ömer, Serra, Victoria, Samyshkin, Yevgeniy, McGuire, Alistair
Background and Purpose—Stroke places a significant burden on the economy in England and Wales with the overall societal costs estimated at £7 billion per annum. There is evidence that both stroke...
Cost of stroke in the United Kingdom (2009)
McGuire, Alistair, Saka, Ömer, Wolfe, Charles
Introduction: this study aims to quantify the annual cost of illness of stroke to the UK economy. Methods: we estimate the cost of stroke from a societal perspective. Direct care costs include...
The cost of stroke in the United Kingdom (2009)
Saka, Ömer, McGuire, Alistair, Wolfe, Charles
Introduction: this study aims to quantify the annual cost of illness of stroke to the UK economy. Methods: we estimate the cost of stroke from a societal perspective. Direct care costs include...
Cost of stroke in the United Kingdom (2009)
Saka, Ömer, McGuire, Alistair, Wolfe, Charles
Introduction: this study aims to quantify the annual cost of illness of stroke to the UK economy. Methods: we estimate the cost of stroke from a societal perspective. Direct care costs include...
Recruitment to multicentre trials — lessons from UKCTOCS: descriptive study (2008)
Menon, Usha, Gentry-Maharaj, Aleksandra, Ryan, Andy, Sharma, Aarti, Burnell, Matthew, Hallett, Rachel, ...
McGuire, Alistair, Dudding, T.C., Meng Lee, E., Faiz, O., Parés, D., Vaizey, C.J., ...
Sacral nerve stimulation (SNS) is an established treatment for faecal incontinence in patients who have failed conservative management. This study established the cost-effectiveness of treating...
Is theatre utilization a valid performance indicator for NHS operating theatres? (2008)
Faiz, Omar, Tekkis, Paris, Mcguire, Alistair, Papagrigoriadis, Savvas, Rennie, John, Leather, Andrew
Abstract Background Utilization is used as the principal marker of theatre performance in the NHS. This study investigated its validity as: a managerial tool, an inter-Trust indicator of efficient...
Is theatre utilization a valid performance marker for NHS theatres? (2008)
McGuire, Alistair, Faiz, Omar, Leather, Andrew, Papagrigoriadis, Savvas, Rennie, John, Tekkis, Paris
Utilization is used as the principal marker of theatre performance in the NHS. This study investigated its validity as: a managerial tool, an inter-Trust indicator of efficient theatre use and as a...
Measuring general surgical workload in the day surgery department (2007)
McGuire, Alistair, Baskerville, Paul, Faiz, Omar, Leather, Andrew, Papagrigoriadis, Savvas, Rennie, John, ...
Is it possible to predict list overruns in an NHS Day Surgery Unit (DSU)? (2007)
McGuire, Alistair, Baskerville, Paul, Faiz, Omar, Leather, Andrew, Rennie, John, Tekkis, Paris
McGuire, Alistair, Christensen, M, Raikou, M, Whittle, I
Background and Purpose: Intracerebral hemorrhage (ICH) represents the severest form of stroke, yet examinations of long-term prognosis and associated health care use are rare. This study assessed...
McGuire, Alistair, Beck, Mickael, Christiansen, Terkel, Dunham, Kelly, Lauridsen, Jørgen, Lyttkens, Carl Hampus, ...
The TECH research network collected patient-level data on three procedures for treatment of heart attack patients, (catheterization, coronary artery by-pass grafts and percutaneous transluminal...
Private medical insurance in the United Kingdom (2006)
Foubister, T, Thomson, Sarah, Mossialos, Elias, McGuire, Alistair
Private medical insurance in the United Kingdom (2006)
Foubister, T, Thomson, Sarah, Mossialos, Elias, McGuire, Alistair
Private medical insurance in the United Kingdom (2006)
Foubister, Thomas, Thomson, Sarah, Mossialos, Elias, McGuire, Alistair
Systematic review on urine albumin testing for early detection of diabetic complications (2005)
McGuire, Alistair, Newman, D, Mattock, M, Zoellner, Y, Kerry, S, Yaqoob, M, ...
Systematic review on urine albumin testing for early detection of diabetic complications (2005)
McGuire, Alistair, Newman, D, Mattock, M, Zoellner, Y, Kerry, S, Yaqoob, M, ...
Public policy and the Austrian pharmaceutical market: options for reform (2005)
Mossialos, Elias, Ziniel, Georg, Merkur, Sherry, Walley, Tom, McGuire, Alistair
Report on private medical insurance to the UK Department of Health (2005)
McGuire, Alistair, Foubister, Thomas, Thomson, Sarah, Mossialos, Elias
Estimates of medical care costs under conditions of censoring (2004)
McGuire, Alistair, Raikou, Maria
A number of non-parametric estimators have been proposed to calculate average medical care costs in the presence of censoring. This paper assesses their performance both in terms of bias and...
The current cost of angina pectoris to the National Health Service in the UK (2003)
McGuire, Alistair, Stewart, S, Murphy, N, Walker, A, McMurray, J
The current cost of angina pectoris to the National Health Service in the UK (2003)
McGuire, Alistair, Stewart, S, Murphy, N, Walker, A, McMurray, J
The economics of screening and treatment in type 2 diabetes mellitus (2003)
McGuire, Alistair, Raikou, Maria
A systematic review of the literature was conducted to identify articles on the economics of type 2 diabetes mellitus. Articles were classified into two main categories: cost/burden-of-illness...
The current cost of heart failure to the National Health Service in the UK (2002)
McGuire, Alistair, Stewart, S, Jenkins, Andrew, Buchan, S, Capewell, S, McMurray, J
The current cost of heart failure to the National Health Service in the UK (2002)
McGuire, Alistair, Stewart, S, Jenkins, Andrew, Buchan, S, Capewell, S, McMurray, J
Nicholson, Tricia, McGuire, Alistair, Milne, Ruairidh
Low molecular weight heparins hold several advantages over unfractionated heparin including convenience of administration. Enoxaparin is one such heparin licensed in the UK for use in unstable...
Nicholson, Tricia, McGuire, Alistair, Milne, Ruairidh
Abstract Background Low molecular weight heparins hold several advantages over unfractionated heparin including convenience of administration. Enoxaparin is one such heparin licensed in the UK for...
Appendix 6: Estimating the cost of obesity in England, by McGuire, A and TECH Research Network
Appendix 6: Estimating the cost of obesity in England, by McGuire, A and TECH Research Network
Centre-specific or average unit costs in multi-centre studies? Some theory and simulation (2000)
Raikou, Maria, Briggs, A., Gray, Alastair, McGuire, Alistair
McGuire, Alistair, Burke, T., Goldstein, J., Maniadakis, N., Pettitt, D.
Pharmacoeconomic analyses have become useful and essential tools for health care decision makers who increasingly require such analyses prior to placing a drug on a national, regional or hospital...
McGuire, Alistair, Ellis, Harold, Moran, Brendan, Thompson, Jeremy, Parker, Michael, Wilson, Malcolm, ...
Adhesions after abdominal and pelvic surgery are important complications, although their basic epidemiology is unclear. We investigated the frequency of such complications in the general population...
McGuire, Alistair, Caro, J. Jaime, Ford, I., Klittich, Wendy S., Norrie, J., Pettitt, D., ...
Aims: The results of the West of Scotland Coronary Prevention Study (WOSCOPS) demonstrated the clinical benefit of using pravastatin for the primary prevention of cardiovascular disease in...
Regulating providers' reimbursement in a mixed market for health care (1999)
McGuire, Alistair, Rickman, Neil
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...
McGuire, Alistair, Briggs, Andrew, Cull, Carol, Fenn, Paul, Gray, Alistair, Holman, Rory, ...
Objectives: To estimate the economic efficiency of tight blood pressure control, with angiotensin converting enzyme inhibitors or beta blockers, compared with less tight control in hypertensive...
McGuire, Alistair, Lightowlers, Sara
Background and Purpose—A number of clinical trials have shown the value of anticoagulating patients with nonrheumatic atrial fibrillation to prevent ischemic stroke. The purpose of this study was...
The direct cost to the NHS of discontinuing and switching prescriptions for hypertension (1998)
There is much evidence to suggest that the treatment of hypertension reduces the risk of cardiovascular diseases and that it is cost-effective in most patients. However, the effectiveness of...
Gray, Alastair, Briggs, Andrew H, Stevens, Ricahrd, Cull, Carole, McGuire, Alistair, Fenn, Paul, ...
Objectives: To estimate the economic efficiency of tight blood pressure control, with angiotensin converting enzyme inhibitors or â blockers, compared with less tight control in hypertensive...
The West of Scotland coronary prevention study: economic benefit analysis (1997)
McGuire, Alistair, Caro, J. Jaime, Ford, Irene, Klittich, Wendy S., McMurray, J, Norrie, J, ...
Objective: To estimate the economic efficiency of using pravastatin to prevent the transition from health to cardiovascular disease in men with hypercholesterolaemia. Design: Economic benefit...
McGuire, Alistair, Morris, Susannah, Caro, J. Jaime, Pettitt, D.
OBJECTIVE: To review research addressing the management of cholesterol in the prevention of coronary heart disease in order to assess the cost-effectiveness of such interventions. METHODS: A...
An economic analysis of varicella vaccination for health care workers (1997)
McGuire, Alistair, Gray, A.M., Fenn, P., Weinberg, J., Miller, E.
A simulation model was constructed to assess the relative costs and cost-effectiveness of different screening and vaccination strategies for dealing with hospital incidents of varicella exposure,...
McGuire, Alistair, Davie, P, Hughes, D, McMurray, J
AIMS: To assess the cost-effectiveness of three different treatment strategies for the use of ACE inhibitors after myocardial infarction. These were (a) a high risk (AIRE type) strategy, (b) an...
A review of the economic analysis of obesity (1997)
McGuire, Alistair, Hughes, David
There are indications that the treatment costs arising from obesity are significant. However, the cost-of-illness studies undertaken to date also highlight two other important points. First, the cost...
The cost-effectiveness of family planning service provision (1996)
McGuire, Alistair, Hughes, David
BACKGROUND: Family planning services are amongst the most highly utilized services in the National Health Service. There have, however, been few empirical studies of the costeffectiveness of these...
An economic evaluation of universal vaccination against Hepatitis B virus (1996)
McGuire, Alistair, Fenn, Paul, Gray, Alistair
This report presents the results of an economic evaluation utilizing U.K. data, into a vaccination programme against Hepatitis B using a genetically engineered, yeast-derived vaccine, Engerix B....
Modelling programme costs in economic evaluation (1996)
McGuire, Alistair, Fenn, Paul, Backhouse, Martin, Jones, David
The economics of low density lipoprotein cholesterol serum reduction with fluvoastatin sodium (1996)
The analysis of censored treatment cost data in economic evaluation (1995)
McGuire, Alistair, Fenn, Paul, Phillips, V., Backhouse, Martin, Jones, D.
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...
McGuire, Alistair, Hughes, David
Since the inception of the NHS, user charges have been present for prescription medication. However since 1968 there has been a steady increase in this charge, particularly notable during the 1980s....
Contracts, supply assurance and the delivery of health care (1994)
McGuire, Alistair, Fenn, Paul, Rickman, Neil
We present a formal model of the relationship between a health care purchaser and a provider drawing on the recent experience of explicit contracting in the UK health sector. Specifically we model...
Selection of end points in economic evaluations of coronary heart disease interventions (1993)
McGuire, Alistair, Drummond, Michael, Heyse, Joseph, Cook, John
Economic evaluations of interventions to lower blood pressure or cholesterol have used different outcome measures, or end points, in the denominator. Some have related the costs of interventions to...
McGuire, Alistair, Parkin, David, Hughes, David, Gerard, Karen
The size of national health care expenditure is an important research and policy issue. This paper reviews theoretical and empirical analyses of an implied optimal size for a health sector. Various...
An economic appraisal of alternative prenatal screening programmes for Down's syndrome (1993)
McGuire, Alistair, Shackley, P., Boyd, P.A., Dennis, J., Fitchett, M., Kay, J., ...
The objective of this study was to evaluate economically a screening programme within the Oxford Regional Health Authority for Down's syndrome, based on maternal serum {alpha} fetoprotein,...
The economic burden of treated benign prostatic hyperplasia in the UK (1993)
McGuire, Alistair, Drummond, Michael, Black, N., Pettigrew, M., McPherson, K.
Recent epidemiological studies suggest that much urological disease is untreated. However, the overall economic burden of urological diseases has never been systematically studied. This report...
Economic evaluation in health care: an introduction for psychiatrists (1993)
McGuire, Alistair, Drummond, Michael
The objective of this paper is to provide an understanding of economic evaluation as applied to health care. A number of methodological issues are explained. Measurement issues are outlined and...
Modelling programme costs in economic evaluation (1993)
McGuire, Alistair, Fenn, Paul, Phillips, V., Backhouse, Martin, Jones, David
The analysis of censored treatment cost data in economic evaluation (1993)
McGuire, Alistair, Fenn, Paul, Phillips, V., Backhouse, Martin, Jones, David
Economics, environment and health (1992)
McGuire, Alistair, Pearce, D. W., Richardson, J., Swanston, T.
What do international comparisons of health care expenditures really show? (1989)
McGuire, Alistair, Parkin, David W., Yule, Brian F.
There is much interest in international comparisons of health care expenditures, in particular their relation to national income. They have been widely used to judge countries' performance in...
A review of English language textbooks in health economics (1989)
McGuire, Alistair, Ludbrook, Anne
This document summarizes health care economics syllabi and programs in English-speaking countries according to target audience, level, and degree of intensity of health care economics training. The...
The measurement of hospital efficiency (1987)
The measurement of efficiency in the hospital sector is particularly difficult given that there is no universally recognised objective function. A generalised neo-classical approach is adopted in...
Appraisal of options for acute bed provision in Fife (1983)
McGuire, Alistair, Henderson, J., Mooney, Gavin, Parkin, David W.
Bech, Mickael, Christiansen, Terkel, Dunham, Kelly, Lauridsen, Jørgen, Lyttkens, Carl Hampus, McDonald, Kathryn, ...
The TECH research network collected patient-level data on three procedures for treatment of heart attack patients, (catheterization, coronary artery by-pass grafts and percutaneous transluminal...
Panos Kanavos, Joan Costa Font, Alistair McGuire
This paper examines the determinants of competition in the statins market across four European countries over the 1991-2002 period. Using IMS data from the UK, Germany, France and the Netherlands,...
Panos Kanavos, Joan Costa Font, Alistair McGuire
This paper examines the determinants of competition in the statins market across four European countries over the 1991-2002 period. Using IMS data from the UK, Germany, France and the Netherlands,...
Is theatre utilization a valid performance indicator for NHS operating theatres?
Faiz, Omar, Tekkis, Paris, Mcguire, Alistair, Papagrigoriadis, Savvas, Rennie, John, Leather, Andrew
Regulating Providers' Reimbursement in a Mixed Market for Health Care.
Rickman, Neil, McGuire, Alistair
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...
The Economics of Screening and Treatment in Type 2 Diabetes Mellitus
Maria Raikou, Alistair McGuire
A systematic review of the literature was conducted to identify articles on the economics of type 2 diabetes mellitus. Articles were classified into two main categories: cost/burden-of-illness...
In search of a corrected prescription drug Elasticity estimate: a meta-regression approach
Marin C. Gemmill, Joan Costa-Font, Alistair McGuire
An understanding of the relationship between cost sharing and drug consumption depends on consistent and unbiased price elasticity estimates. However, there is wide heterogeneity among studies, which...
Modelling programme costs in economic evaluation
Fenn, Paul, McGuire, Alistair, Backhouse, Martin, Jones, David
Morris, Stephen, McGuire, Alistair
The private net present value and private internal rate of return to becoming a nurse in Great Britain is estimated. The calculations are made using the standard equations inputted with data from the...
The Assessment: The Economics of Legal Reform.
The paper applies an approach to medium-term policy-making that emphasizes the case for tax-rate smoothing to the present situation of the European community and particularly the U.K. within it. U.K....
Equity, waiting times, and NHS reforms: retrospective study
Cooper, Zachary N, McGuire, Alistair, Jones, S, Grand, J Le
Objective To determine whether observable changes in waiting times occurred for certain key elective procedures between 1997 and 2007 in the English National Health Service and to analyse the...