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English
Oxford University Press Inc
01 August 1996
This is a unique, in-depth discussion of the uses and conduct of cost-effectiveness analyses (CEA) as decision-making aids in the health and medical fields. The product of over two years of deiberation by a multi-disciplinary Public Health Service appointed panel that included economists, ethicists, psychometricians, and clinicians, it explores cost-effectiveness in the context of societal decision-making for resource allocation purposes. It proposes that analysts include a reference-case analysis in all CEA's designed to inform resource allocation and puts forth the most expicit set of guidelines (together with their rationale) ever outlined of the conduct of CEAs. Important theoretical and practical issues encountered in measuring costs and effectiveness, valuing outcomes, discounting, and dealing with uncertainty are examined in separate chapters. These discussions are complemented by additional chapters on framing and reporting of CEAs that aim to clarify the purpose of the analysis and the effective communication of its findings. Primarily intended for analysts in medicine and public health who wish to improve practice and comparability of CEAs, this book will also be of interest to decision-makers in government, managed care, and industry who wish to consider the roles and limitations of CEA and become familiar with criteria for evaluating these studies.
Edited by:   , , , , , , , ,
Imprint:   Oxford University Press Inc
Country of Publication:   United States
Dimensions:   Height: 242mm,  Width: 172mm,  Spine: 26mm
Weight:   844g
ISBN:   9780195108248
ISBN 10:   0195108248
Pages:   448
Publication Date:  
Audience:   Professional and scholarly ,  Undergraduate
Format:   Hardback
Publisher's Status:   Active
1. Cost-Effectiveness Analysis as a Guide to Resource Allocation in Health: Roles and Limitations ; 2. Theoretical Foundations of Cost-Effectiveness Analysis ; 3. Framing and Designing the Cost-Effectiveness Analysis ; 4. Identifying and Valuing Outcomes ; 5. Assessing the Effectiveness of Health Interventions ; 6. Estimating Costs in Cost-Effectiveness Analysis ; 7. Time Preference ; 8. Reflecting Uncertainty in Cost-Effectiveness Analysis ; 9. Reporting Cost-Effectiveness Studies and Results ; Appendix A: Summary of Recommendations for the Reference Case ; Appendix B: Cost-Effectiveness of Strategies to Prevent Neural Tube Defects ; Appendix C: The Cost-Effectiveness of Dietary and Pharmacologic Therapy for Cholesterol Reduction in Adults

Reviews for Cost-Effectiveness in Health and Medicine

Well-referenced chapters...A comprehensive glossary and index round out this well-organized book. The book comprehensively examines the methods of cost-effectiveness analysis...Worthwhile addition to the library... --The New England Journal of Medicine At last we have a book that can serve as a manual of operations to assure a level playing field when comparing the cost-effectiveness of a preventive service with a treatment intervention or when comparing two or more prevention strategies for the same condition. --American Journal of Preventive Medicine Abstract in The American Journal of Public Health Should be required reading for health economists, policy researchers, and clinical researchers. --Canadian Journal of Public Health An impressive volume which is likely to be referenced in the economic evaluation literature for some years to come....This book makes an important contribution. --Health Economics A must-have book for practitioners and students of economic evaluation or cost-effective analysis . It represents a milestone in the maturation of the discipline....A major step forward...Represents the collective wisdom (consensus judgement) of the tall foreheads in discipline...instructive and practical. --Annals of RCPSC A major step forward....This [book] represents the collective wisdom...of the tall foreheads in the discipline....Instructive and practical. --Murray Krahn, MD, MSc, FRCPC, Annals of the Royal College of Physicians and Surgeons of Canada The book is clearly written with an excellent glossary and index. It is primarily for researchers and teachers, but is also accessible to those consumers and providers without a research background who are interested in how CEAs may contribute to health policy decisions. --Physiotherapy Canada


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