On the decision rules of cost-effectiveness analysis

作者: Magnus Johannesson , Milton C. Weinstein

DOI: 10.1016/0167-6296(93)90005-Y

关键词: Field (computer science)Health careCost-effectiveness analysisDecision ruleRisk analysis (engineering)Computer scienceOptimal decisionActuarial scienceCost–utility analysisDecision treeQuality-adjusted life year

摘要: It has become increasingly popular to carry out cost-effectiveness analyses in economic evaluations of healthcare programmes. Cost-effectiveness analysis is based on the maximisation health effects for a given amount resources. However, many published studies fail report results way that consistent with this underlying aim. The aim article demonstrate decision rules an easily accessible practitioners field. A hypothetical example used analysis, and we also show how estimate appropriate incremental ratios exclude dominated alternatives. then shown fixed budgets or predetermined prices per effectiveness unit can be as maximise determine which programmes implement basis ratios. We hope will contribute towards increased understanding application so interpreted meaningfully by makers.

参考文章(8)
Göran Karlsson, Hälsoekonomisk analys av dentala implantat Linköpings universitet. ,(1991)
Stephen Birch, Amiram Gafni, Cost effectiveness/utility analyses. Do current decision rules lead us to where we want to be? Journal of Health Economics. ,vol. 11, pp. 279- 296 ,(1992) , 10.1016/0167-6296(92)90004-K
Ichiro Kawachi, Laurence A. Malcolm, The cost-effectiveness of treating mild-to-moderate hypertension: a reappraisal Journal of Hypertension. ,vol. 9, pp. 199- 208 ,(1991) , 10.1097/00004872-199103000-00002
Harri Sintonen, Virpi Alander, Comparing the cost-effectiveness of drug regimens in the treatment of duodenal ulcers. Journal of Health Economics. ,vol. 9, pp. 85- 101 ,(1990) , 10.1016/0167-6296(90)90042-2
Milton Weinstein, Richard Zeckhauser, Critical ratios and efficient allocation Journal of Public Economics. ,vol. 2, pp. 147- 157 ,(1973) , 10.1016/0047-2727(73)90002-9
M. J. Buxton, B. J. O'Brien, Economic evaluation of ondansetron: Preliminary analysis using clinical trial data prior to price setting The British journal of cancer. Supplement. ,vol. 19, ,(1992)
M. W. Jones-Lee, M. Hammerton, P. R. Philips, THE VALUE OF SAFETY: RESULTS OF A NATIONAL SAMPLE SURVEY* The Economic Journal. ,vol. 95, pp. 49- 72 ,(1985) , 10.2307/2233468
Milton C. Weinstein, Principles of cost-effective resource allocation in health care organizations. International Journal of Technology Assessment in Health Care. ,vol. 6, pp. 93- 103 ,(1990) , 10.1017/S0266462300008953