Cost-effectiveness analysis in health care.
نویسندگان
چکیده
With the skyrocketing costs of modern health care, many health policy planners turn to cost effective analysis (CEA) or cost benefit analysis (CBA) to get quantitative answers for appropriateness of health procedures. This article analyzes how well approaches like CEA or CBA handle the hidden ethical judgements for such problems as: alternative treatments for an identical goal, the most effective utilization of funds earmarked for a particular goal, empirical support for the adoption of previously underfunded medical programs, and exposing noncostworthy care. Areas of analysis that involve human capital methodologies, whereby human value is often defined by economic worth, was shown to discriminate against low wage earners. The quandary of how to determine the value of human life and health is an essential problem but is certainly not straight forward. A particular criticism of CEA where there exist ethical shortcomings is the analysis of health care for the elderly (e.g. the elderly have a worse expenditure of dollars for lifespan extension). If CEA or CBA is applied in an appropriate manner, CEA can encompass many of our democratic society's values, and therefore philosophers, historians, and students of the humanities are encouraged to provide input in this domain of analysts and economics.
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ورودعنوان ژورنال:
- Hospital cost management and accounting
دوره 7 4 شماره
صفحات -
تاریخ انتشار 1989