The Promise and Promotion of CEA

Peter J. Neumann

in Using Cost-Effectiveness Analysis to Improve Health Care

Published in print December 2004 | ISBN: 9780195171860
Published online September 2009 | e-ISBN: 9780199865345 | DOI:
The Promise and Promotion of CEA

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This chapter traces the intellectual roots of cost-effectiveness analysis in health care. It also provides a brief history of CEA in health applications. It argues that the emergence of CEA in the 1960s and 1970s represented a paradigm shift in that it reflected a growing awareness that American medicine had exceeded society's capacity to pay for all of the health care that people could use to actually improve their health. It highlights that in 1970s and early 1980s, cost-effectiveness analyses of health problems began to appear in major medical journals, including influential papers examining the cost-effectiveness of inexpensive tests for cancer screening, of strategies to manage hypertension, and of vaccines for pneumococcal pneumonia.

Keywords: cost-effectiveness analysis; CEA; health applications; cancer screening; hypertension; pneumococcal pneumonia; health care; public health

Chapter.  2839 words.  Illustrated.

Subjects: Public Health and Epidemiology

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