Chapter

Advanced Cost-Effectiveness Analysis

Diana B. Petitti

in Meta-Analysis, Decision Analysis, and Cost-Effectiveness Analysis

Second edition

Published in print November 1999 | ISBN: 9780195133646
Published online September 2009 | e-ISBN: 9780199863761 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780195133646.003.12

Series: Monographs in Epidemiology and Biostatistics

Advanced Cost-Effectiveness Analysis

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This chapter introduces more advanced methods used in conduct of cost-effectiveness analyses that are built on the results of decision analysis. It describes the main types of cost analysis used to evaluate health programs, discusses the reasons why cost-benefit analysis is rarely done in health care, and gives the rationale for the focus in medicine and health on cost-effectiveness and cost-utility analysis. The distinction between the average and marginal cost-effectiveness ratio is given. The chapter delineates the importance of perspective in cost-effectiveness analysis. It discusses the choice of time horizon and discount rate as key factors that affect cost-effectiveness analysis. It describes how cost should be measured ideally and how cost is most often measured in practice.

Keywords: cost-benefit analysis; marginal cost-effectiveness ratio; discount rate; perspective; time horizon

Chapter.  8379 words. 

Subjects: Public Health and Epidemiology

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