Understanding the Resistance

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:
Understanding the Resistance

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This chapter argues that resistance to CEA, in part, reflects American cultural conventions, which lean toward market-based solutions and away from government policies that examine returns on investment in medical interventions from the public's perspective. Another challenge involves the evidence base. Cost-effectiveness data often are unavailable at the time of a technology's diffusion into practice. Existing CEAs may ignore the practical needs of decision makers by excluding implementation costs for programs or the fidelity of implementation in actual practice.

Keywords: cost-effectiveness analysis; healthcare; American cultural conventions; market-based solutions

Chapter.  6044 words.  Illustrated.

Subjects: Public Health and Epidemiology

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