Article

The Methods of Cost-Effectiveness Analysis to Inform Decisions about the Use of Health Care Interventions and Programs

Simon Walker, Mark Sculpher and Michael Drummond

in The Oxford Handbook of Health Economics

Published in print April 2011 | ISBN: 9780199238828
Published online September 2012 | | DOI: http://dx.doi.org/10.1093/oxfordhb/9780199238828.013.0031

Series: Oxford Handbooks in Economics

 The Methods of Cost-Effectiveness Analysis to Inform Decisions about the Use of Health Care Interventions and Programs

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  • Economics
  • Health, Education, and Welfare
  • Econometric and Statistical Methods and Methodology: General

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Health care systems exhibit their features and nuances that impose constraints on the appropriate way to analyze interventions and make decisions about their implementation. This article seeks to explain the theoretical foundations of these methods and their implementation in practice. It focuses on a budget constrained health care sector, where implementing a new technology with additional costs will result in other health care services being displaced hence forgoing health improvement elsewhere. It is intended to provide grounding in the policy motivation for economic evaluation and the underlying normative issues in undertaking studies. The article further develops the key elements of undertaking economic evaluation in practice. It outlines a simple scenario regarding the comparison of chemotherapy treatments for breast cancer. This example helps to illustrate some of the conceptual issues raised in this article. The approaches that have been taken to quantify outcomes and costs from health care interventions are also discussed.

Keywords: health care systems; costs; economic evaluation; decisions; normative issues

Article.  10301 words. 

Subjects: Economics ; Health, Education, and Welfare ; Econometric and Statistical Methods and Methodology: General

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