Cost-effectiveness analysis in health care.

نویسندگان

  • D D Emery
  • L J Schneiderman
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.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Cost-effectiveness analysis of subcutaneous immunoglobulin replacement therapy in Iranian patients with primary immunodeficiencies

    Background: Economic evaluation of subcutaneous immunoglobulin therapy (SCIG) is important, and it has recently been used for treatment of patients with primary immunodeficiency (PID) diseases, and can improve allocation of resources in health care systems. The present research aimed at providing an economic assessment of SCIG and IVIG (intravenous immunoglobulin therapy) adm...

متن کامل

Use of Cost-Effectiveness Data in Priority Setting Decisions: Experiences from the National Guidelines for Heart Diseases in Sweden

Background The inclusion of cost-effectiveness data, as a basis for priority setting rankings, is a distinguishing feature in the formulation of the Swedish national guidelines. Guidelines are generated with the direct intent to influence health policy and support decisions about the efficient allocation of scarce healthcare resources. Certain medical conditions may be given higher priority ran...

متن کامل

Don’t Discount Societal Value in Cost-Effectiveness; Comment on “Priority Setting for Universal Health Coverage: We Need Evidence-Informed Deliberative Processes, Not Just More Evidence on Cost-Effectiveness”

As healthcare resources become increasingly scarce due to growing demand and stagnating budgets, the need for effective priority setting and resource allocation will become ever more critical to providing sustainable care to patients. While societal values should certainly play a part in guiding these processes, the methodology used to capture these values need not necessarily be limited to mul...

متن کامل

Cost- Effectiveness Analysis of Infectious Waste Treatment Devices in Hospital

Introduction: Today, the infectious wastes of hospitals are considered as a public health problem. Considering the huge amounts of hazardous wastes and the disadvantages of incinerators, we need to investigate the non-combustible devices involved in biochemical treatment. This study was carried out with the aim of evaluating the cost-effectiveness of infectious wastes devices. Materials and Me...

متن کامل

Cost-Effectiveness Analysis of Health Interventions: A Critical Review

Background and Aim: Economic evaluation of health interventions by comparing the relevant costs and benefits will result in optimum allocation of resources and increasing the effectiveness of the health system and, through improving equity and increasing accessibility to health services, will lead to increased effectiveness of the health system. The purpose of this study was to critically evalu...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Hospital cost management and accounting

دوره 7 4  شماره 

صفحات  -

تاریخ انتشار 1989