{"id":"https://openalex.org/W2598456579","doi":"https://doi.org/10.1136/bmj.j1402","title":"Cost effective but unaffordable: an emerging challenge for health systems","display_name":"Cost effective but unaffordable: an emerging challenge for health systems","publication_year":2017,"publication_date":"2017-03-22","ids":{"openalex":"https://openalex.org/W2598456579","doi":"https://doi.org/10.1136/bmj.j1402","mag":"2598456579","pmid":"https://pubmed.ncbi.nlm.nih.gov/28330879"},"language":"en","primary_location":{"id":"doi:10.1136/bmj.j1402","doi":"https://doi.org/10.1136/bmj.j1402","is_oa":false,"landing_page_url":"https://doi.org/10.1136/bmj.j1402","pdf_url":null,"source":{"id":"https://openalex.org/S4393917726","display_name":"BMJ","issn_l":"1756-1833","issn":["1756-1833"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-a","doyens","jufo-2","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ","raw_type":"journal-article"},"volume":null,"type":"editorial","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://kclpure.kcl.ac.uk/ws/files/66308036/Cost_effective_but_unaffordable_Penultimate_draft.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5061087092","display_name":"Victoria Charlton","orcid":"https://orcid.org/0000-0002-7407-2627","observed_orcids":["https://orcid.org/0000-0002-7407-2627"]},"institutions":[{"id":"https://openalex.org/I183935753","display_name":"King's College London","ror":"https://ror.org/0220mzb33","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I183935753"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Victoria Charlton","raw_affiliation_strings":["Department of Global Health and Social Medicine, King's College London"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Global Health and Social Medicine, King's College London","institution_ids":["https://openalex.org/I183935753"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5069893622","display_name":"Peter Littlejohns","orcid":"https://orcid.org/0000-0003-2503-9692","observed_orcids":["https://orcid.org/0000-0003-2503-9692"]},"institutions":[{"id":"https://openalex.org/I183935753","display_name":"King's College London","ror":"https://ror.org/0220mzb33","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I183935753"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Peter Littlejohns","raw_affiliation_strings":["Department of Primary Care and Public Health Sciences, King's College London"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Primary Care and Public Health Sciences, King's College London","institution_ids":["https://openalex.org/I183935753"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027319152","display_name":"Katharina Kieslich","orcid":"https://orcid.org/0000-0002-0126-6949","observed_orcids":["https://orcid.org/0000-0002-0126-6949"]},"institutions":[{"id":"https://openalex.org/I183935753","display_name":"King's College London","ror":"https://ror.org/0220mzb33","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I183935753"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Katharina Kieslich","raw_affiliation_strings":["Department of Primary Care and Public Health Sciences, King's College London"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Primary Care and Public Health Sciences, King's College London","institution_ids":["https://openalex.org/I183935753"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077225459","display_name":"Polly Mitchell","orcid":"https://orcid.org/0000-0001-7680-0264","observed_orcids":["https://orcid.org/0000-0001-7680-0264"]},"institutions":[{"id":"https://openalex.org/I45129253","display_name":"University College London","ror":"https://ror.org/02jx3x895","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I45129253"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Polly Mitchell","raw_affiliation_strings":["Department of Philosophy, University College London"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Philosophy, University College London","institution_ids":["https://openalex.org/I45129253"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080389501","display_name":"Benedict E. Rumbold","orcid":"https://orcid.org/0000-0001-9582-1749","observed_orcids":["https://orcid.org/0000-0001-9582-1749"]},"institutions":[{"id":"https://openalex.org/I45129253","display_name":"University College London","ror":"https://ror.org/02jx3x895","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I45129253"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Benedict Rumbold","raw_affiliation_strings":["Department of Philosophy, University College London"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Philosophy, University College London","institution_ids":["https://openalex.org/I45129253"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074428186","display_name":"Albert Weale","orcid":"https://orcid.org/0000-0003-2623-9805","observed_orcids":["https://orcid.org/0000-0003-2623-9805"]},"institutions":[{"id":"https://openalex.org/I45129253","display_name":"University College London","ror":"https://ror.org/02jx3x895","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I45129253"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Albert Weale","raw_affiliation_strings":["Department of Political Sciences, University College London"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Political Sciences, University College London","institution_ids":["https://openalex.org/I45129253"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082849793","display_name":"James Wilson","orcid":"https://orcid.org/0000-0002-0911-8510","observed_orcids":["https://orcid.org/0000-0002-0911-8510"]},"institutions":[{"id":"https://openalex.org/I45129253","display_name":"University College London","ror":"https://ror.org/02jx3x895","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I45129253"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"James Wilson","raw_affiliation_strings":["Department of Philosophy, University College London"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Philosophy, University College London","institution_ids":["https://openalex.org/I45129253"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5062417912","display_name":"Annette Rid","orcid":"https://orcid.org/0000-0003-1117-1975","observed_orcids":["https://orcid.org/0000-0003-1117-1975"]},"institutions":[{"id":"https://openalex.org/I183935753","display_name":"King's College London","ror":"https://ror.org/0220mzb33","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I183935753"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Annette Rid","raw_affiliation_strings":["Department of Global Health and Social Medicine, King's College London annette.rid@kcl.ac.uk","Department of Global Health and Social Medicine, King's College London"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Global Health and Social Medicine, King's College London annette.rid@kcl.ac.uk","institution_ids":["https://openalex.org/I183935753"]},{"raw_affiliation_string":"Department of Global Health and Social Medicine, King's College London","institution_ids":["https://openalex.org/I183935753"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5062417912"],"corresponding_institution_ids":["https://openalex.org/I183935753"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":49,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"356","issue":null,"first_page":"j1402","last_page":"j1402"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.6503999829292297,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.6503999829292297,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11792","display_name":"Pharmaceutical Economics and Policy","score":0.18019999563694,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.08669999986886978,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-care-financing","display_name":"health care financing","score":0.5379999876022339},{"id":"https://openalex.org/keywords/affordability","display_name":"affordability","score":0.39800000190734863},{"id":"https://openalex.org/keywords/cost-effectiveness","display_name":"cost-effectiveness","score":0.7770000100135803},{"id":"https://openalex.org/keywords/health-policy","display_name":"health policy","score":0.8080000281333923},{"id":"https://openalex.org/keywords/political-economy-of-health-care","display_name":"political economy of health care","score":0.5659999847412109}],"concepts":[{"id":"https://openalex.org/C2777267654","wikidata":"https://www.wikidata.org/wiki/Q3519023","display_name":"Test (biology)","level":2,"score":0.568882942199707},{"id":"https://openalex.org/C94625758","wikidata":"https://www.wikidata.org/wiki/Q7163","display_name":"Politics","level":2,"score":0.5339424014091492},{"id":"https://openalex.org/C112930515","wikidata":"https://www.wikidata.org/wiki/Q4389547","display_name":"Risk analysis (engineering)","level":1,"score":0.4508282542228699},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.36410120129585266},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.3390820026397705},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.33610013127326965},{"id":"https://openalex.org/C190253527","wikidata":"https://www.wikidata.org/wiki/Q295354","display_name":"Law and economics","level":1,"score":0.3243428170681},{"id":"https://openalex.org/C100001284","wikidata":"https://www.wikidata.org/wiki/Q2248246","display_name":"Public economics","level":1,"score":0.3240818381309509},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.2746586799621582},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.13144883513450623},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D002017","descriptor_name":"Budgets","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003362","descriptor_name":"Cost-Benefit Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004739","descriptor_name":"England","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006291","descriptor_name":"Health Policy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013222","descriptor_name":"State Medicine","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D020811","descriptor_name":"Biomedical Technology","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true}],"locations_count":5,"locations":[{"id":"doi:10.1136/bmj.j1402","doi":"https://doi.org/10.1136/bmj.j1402","is_oa":false,"landing_page_url":"https://doi.org/10.1136/bmj.j1402","pdf_url":null,"source":{"id":"https://openalex.org/S4393917726","display_name":"BMJ","issn_l":"1756-1833","issn":["1756-1833"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-a","doyens","jufo-2","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ","raw_type":"journal-article"},{"id":"pmid:28330879","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/28330879","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ (Clinical research ed.)","raw_type":"Editorial"},{"id":"pmh:oai:kclpure.kcl.ac.uk:openaire/141cd5ae-c646-43da-8fae-7431af2309ed","doi":null,"is_oa":true,"landing_page_url":"https://kclpure.kcl.ac.uk/portal/en/publications/141cd5ae-c646-43da-8fae-7431af2309ed","pdf_url":"https://kclpure.kcl.ac.uk/ws/files/66308036/Cost_effective_but_unaffordable_Penultimate_draft.pdf","source":{"id":"https://openalex.org/S4306400216","display_name":"Research Portal (King's College London)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I183935753","host_organization_name":"King's College London","host_organization_lineage":["https://openalex.org/I183935753"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Charlton, V, Littlejohns, P, Kieslich, K, Mitchell, P, Rumbold, B, Weale, A, Wilson, J & Rid, A 2017, 'Cost effective but unaffordable : An emerging challenge for health systems', BMJ (Clinical research ed.), vol. 356, j1402, pp. 1-2. https://doi.org/10.1136/bmj.j1402","raw_type":"info:eu-repo/semantics/article"},{"id":"pmh:oai:eprints.ucl.ac.uk.OAI2:1546679","doi":null,"is_oa":false,"landing_page_url":"https://discovery.ucl.ac.uk/id/eprint/1546679/","pdf_url":null,"source":{"id":"https://openalex.org/S4306400024","display_name":"UCL Discovery (University College London)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I45129253","host_organization_name":"University College London","host_organization_lineage":["https://openalex.org/I45129253"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMJ , 356 , Article j1402. (2017)","raw_type":"Article"},{"id":"pmh:oai:open-archive.highwire.org:bmj:356/mar21_1/j1402","doi":null,"is_oa":false,"landing_page_url":"http://www.bmj.com/cgi/content/short/356/mar21_1/j1402","pdf_url":null,"source":{"id":"https://openalex.org/S4406923041","display_name":"HighWire Press Open Archive","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"TEXT"}],"best_oa_location":{"id":"pmh:oai:kclpure.kcl.ac.uk:openaire/141cd5ae-c646-43da-8fae-7431af2309ed","doi":null,"is_oa":true,"landing_page_url":"https://kclpure.kcl.ac.uk/portal/en/publications/141cd5ae-c646-43da-8fae-7431af2309ed","pdf_url":"https://kclpure.kcl.ac.uk/ws/files/66308036/Cost_effective_but_unaffordable_Penultimate_draft.pdf","source":{"id":"https://openalex.org/S4306400216","display_name":"Research Portal (King's College London)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I183935753","host_organization_name":"King's College London","host_organization_lineage":["https://openalex.org/I183935753"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Charlton, V, Littlejohns, P, Kieslich, K, Mitchell, P, Rumbold, B, Weale, A, Wilson, J & Rid, A 2017, 'Cost effective but unaffordable : An emerging challenge for health systems', BMJ (Clinical research ed.), vol. 356, j1402, pp. 1-2. https://doi.org/10.1136/bmj.j1402","raw_type":"info:eu-repo/semantics/article"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320311904","display_name":"Wellcome Trust","ror":"https://ror.org/029chgv08"},{"id":"https://openalex.org/F4320319990","display_name":"National Institute for Health and Care Research","ror":"https://ror.org/0187kwz08"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2598456579.pdf","grobid_xml":"https://content.openalex.org/works/W2598456579.grobid-xml"},"referenced_works_count":6,"referenced_works":["https://openalex.org/W166560170","https://openalex.org/W1944257115","https://openalex.org/W2035041821","https://openalex.org/W2064068610","https://openalex.org/W2490999449","https://openalex.org/W2569357373"],"related_works":["https://openalex.org/W2238415422","https://openalex.org/W2431741534","https://openalex.org/W2416249856","https://openalex.org/W124208119","https://openalex.org/W4416171468","https://openalex.org/W4298046225","https://openalex.org/W2395013147","https://openalex.org/W77964547","https://openalex.org/W4409999986","https://openalex.org/W1974341190"],"abstract_inverted_index":{"New":[0],"\u201cbudget":[1],"impact":[2],"test\u201d":[3],"is":[4],"an":[5],"unpopular":[6],"and":[7],"flawed":[8],"attempt":[9],"to":[10],"solve":[11],"a":[12],"fundamentally":[13],"political":[14],"problem":[15]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":18},{"year":2020,"cited_by_count":6},{"year":2019,"cited_by_count":12},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":5}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2017-04-07T00:00:00"}