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Allocating Public Spending Efficiently: Is There a Need for a Better Mechanism to Inform Decisions in the UK and Elsewhere?
Applied Health Economics and Health Policy ( IF 3.6 ) Pub Date : 2021-06-09 , DOI: 10.1007/s40258-021-00648-2
Patricia Cubi-Molla 1, 2 , Martin Buxton 3 , Nancy Devlin 1, 2, 4
Affiliation  

In the UK few if any regular processes explicitly address comparisons of value for money between spending in different government departments, despite the existence of mechanisms that could in principle achieve that. This leaves a very important gap in evidence and means that decisions about public spending allocations are likely to miss opportunities to improve social welfare from existing budgets. Greater attention to the development of methods and evidence to better inform the allocation of public sector spending between departments is therefore urgently needed. We identify a number of possible approaches to this—some of which are being used in different countries—and highlight their strengths and weaknesses. We propose a new, pragmatic approach that incorporates a generic descriptive system to measure the disparate outcomes produced by public sector activities in a commensurate manner. Discrete-choice experiments could be used to generate evidence of the relative importance placed on different aspects of public sector outcomes by members of the general public. The proposed approach would produce evidence on value for money across departments, and the generation of evidence on public preferences to support that.



中文翻译:

有效分配公共支出:是否需要更好的机制来为英国和其他地方的决策提供信息?

在英国,很少有常规流程明确处理不同政府部门支出之间的物有所值比较,尽管存在原则上可以实现这一点的机制。这在证据上留下了一个非常重要的空白,这意味着有关公共支出分配的决定可能会错失从现有预算中改善社会福利的机会。因此,迫切需要更多地关注开发方法和证据,以更好地为部门之间的公共部门支出分配提供信息。我们确定了一些可能的方法来解决这个问题——其中一些正在不同的国家使用——并强调它们的优势和劣势。我们提出一个新的,一种务实的方法,它包含一个通用的描述系统,以相应的方式衡量公共部门活动产生的不同结果。离散选择实验可用于生成公众成员对公共部门成果不同方面的相对重要性的证据。提议的方法将产生跨部门的物有所值的证据,并产生有关公众偏好的证据来支持这一点。

更新日期:2021-06-09
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