Franklin

Cost-Effectiveness in Health and Medicine.

Author/Creator:
Gold, Marthe R.
Publication:
Cary : Oxford University Press, Incorporated, 1996.
Format/Description:
Book
1 online resource (450 pages)
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Subjects:
Medical care -- Cost effectiveness -- Research -- Methodology.
Medical economics.
Form/Genre:
Electronic books.
Summary:
A unique, in-depth discussion of the uses and conduct of cost-effectiveness analyses (CEAs) as decision-making aids in the health and medical fields, this volume is the product of over two years of comprehensive research and deliberation by a multi-disciplinary panel of economists, ethicists, psychometricians, and clinicians. Exploring cost-effectiveness in the context of societal decision-making for resource allocation purposes, this volume proposes that analysts include a "reference-case" analysis in all CEAs designed to inform resource allocation and puts forth the most explicit set of guidelines (together with their rationale) ever defined on the conduct of CEAs. Important theoretical and practical issues encountered in measuring costs and effectiveness, evaluating outcomes, discounting, and dealing with uncertainty are examined in separate chapters. Additional chapters on framing and reporting of CEAs elucidate the purpose of the analysis and the effective communication of its findings. Cost-Effectiveness in Health and Medicine differs from the available literature in several key aspects. Most importantly, it represents a consensus on standard methods--a feature integral to a CEA, whose principal goal is to permit comparisons of the costs and health outcomes of alternative ways of improving health. The detailed level at which the discussion is offered is another major distinction of this book, since guidelines in journal literature and in CEA-related books tend to be rather general--to the extent that the analyst is left with little guidance on specific matters. The focused overview of the theoretical background underlying areas of controversy and of methodological alternatives, and, finally, the accessible writing style make this volume a top choice on the reading lists of analysts in medicine and public health who wish to improve practice
and comparability of CEAs. The book will also appeal to decision-makers in government, managed care, and industry who wish to consider the uses and limitations of CEAs.
Contents:
Cover
Contents
List of Contributors
Introduction
1. Cost-Effectiveness Analysis as a Guide to Resource Allocation in Health: Roles and Limitations
What Is the Appropriate Perspective?
Defining Outcomes and Costs from the Societal Perspective
CEA as an Aid to Decision Making
Other Methods for Making Decisions in Health
Results of CEA and Other Methods Compared
Current and Potential Uses of CEA
Conclusion
Recommendations
2. Theoretical Foundations of Cost-Effectiveness Analysis
What is Cost-Effectiveness Analysis?
Theoretical Foundations for Valuing Individual and Social Well-Being
Theoretical Foundations for Valuing Costs in CEA
Applications of Theory to Methodologic Controversies
Conclusion
3. Framing and Designing the Cost-Effectiveness Analysis
Framing the Study
Designing the Study
Conclusion
Recommendations
4. Identifying and Valuing Outcomes
The Outcomes of Interest in Cost-Effectiveness Analysis
Combining Duration of Life with Health-Related Quality of Life
Health Status Measures
Why Value Health Outcomes?
Whose Preferences Should Be Used in CEA?
Preference Classification Systems
Techniques for Valuing Health States
Toward Consistency Across Studies: A National Catalogue of Weights
Recommendations
Appendix 4.1: Generic Preference-Based Measures for Use in CEA
5. Assessing the Effectiveness of Health Interventions
Definitions
Sources of Data for Probability Estimates
Modeling to Estimate Effectiveness in a CEA
Calculation of Net Effectiveness
Conclusion
Recommendations
6. Estimating Costs in Cost-Effectiveness Analysis
A Graphic Illustration of Economic Consequences
Types of Resource Costs
Measurement and Valuation of Resources in Gross-Costing
Conclusion
Recommendations
7. Time Preference.
Discounting Costs
Discounting Health Consequences
Choosing the Discount Rate for CEA
Recommendations
Appendix 7.1: A Theoretical Model of Intertemporal Decision Making Regarding Health and Other Commodities
Appendix 7.2: A Two-Stage Procedure for Incorporating Individual and Societal Time Preferences
8. Reflecting Uncertainty in Cost-Effectiveness Analysis
Parameter Uncertainty
Modeling Uncertainty
Recommendations
9. Reporting Cost-Effectiveness Studies and Results
The Journal Report
The Technical Report
Disclosure
Conclusion
Recommendations
Appendix A: Summary Recommendations
Worked Examples
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
Glossary
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B
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D
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Index
A
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D
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Notes:
Description based on publisher supplied metadata and other sources.
Local notes:
Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2021. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.
Contributor:
Siegel, Joanna E.
Russell, Louise B.
Weinstein, Milton C.
Weinstein, Milton C.
Other format:
Print version: Gold, Marthe R. Cost-Effectiveness in Health and Medicine
ISBN:
9780199771417
9780195108248
OCLC:
712015974