From principle to public policy: using cost-effectiveness analysis.

نویسندگان

  • P J Neumann
  • M Johannesson
چکیده

Medical technology assessment, which traditionally has involved evaluating whether a technology was safe and effective, has been expanded in recent years to include consideration of cost-effectiveness. While most analysts and policymakers would agree that cost-effectiveness is, in principle, a worthy goal, actually using such a standard in coverage decisions is much more difficult. This Commentary focuses on the challenges involved for public payers and what we can realistically expect a cost-effectiveness criterion to accomplish. First, we briefly discuss the cost-effectiveness principle. Second, we address some of the key issues in assessing medical technologies. Third, we review how different public payers in the United States and overseas are addressing these issues. Finally, we discuss both the opportunities and limitations of cost-effectiveness analysis.

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عنوان ژورنال:
  • Health affairs

دوره 13 3  شماره 

صفحات  -

تاریخ انتشار 1994