Student or educator? Sign up with your school email and get 6 months of Pro free.
Cited by 766

The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.

Economic foundations of cost-effectiveness analysis

Open access
Garber, Alan M., Phelps, Charles E.·1997·Journal of Health Economics

Abstract

To address controversies in the applications of cost-effectiveness analysis, we investigate the principles underlying the technique and discuss the implications for the evaluation of medical interventions. Using a standard von Neumann-Morgenstern utility framework, we show how a cost-effectiveness criterion can be derived to guide resource allocation decisions, and how it varies with age, gender, income level, and risk aversion. Although cost-effectiveness analysis can be a useful and powerful tool for resource allocation decisions, a uniform cost-effectiveness criterion that is applied to a heterogeneous population level is unlikely to yield Pareto-optimal resource allocations.

Overview

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1016/s0167-6296(96)00506-1

Cites

2 of 2 references verified0 citation errors · 0 not checkable

Statistics

Verification

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Citations

Cites

Show all 2 references

Research works printed but not linked: 38

  1. Avorn, 1984, Benefit and cost analysis in geriatric care: Turning age discrimination into health policy, New England Journal of Medicine, 310, 1294, 10.1056/NEJM198405173102005 · DOI
  2. Becker, 1988, A theory of rational addiction, Journal of Political Economy, 96, 675, 10.1086/261558 · DOI · Paper page
  3. Blume, 1975, The asset structure of individual portfolios and some implications for utility functions, Journal of Finance, 30, 585, 10.2307/2978737 · DOI · Paper page
  4. Boyle, 1983, Economic evaluation of neonatal intensive care of very-low-birth-weight infants, New England Journal of Medicine, 308, 1330, 10.1056/NEJM198306023082206 · DOI · Paper page
  5. Browner, 1991, What if Americans ate less fat? A quantitative estimate of the affect on mortality, Journal of the American Medical Association, 265, 3285, 10.1001/jama.1991.03460240081032 · doi:10.1001/jama.1991.03460240081032
  6. Caballero, 1991, Earnings uncertainty and aggregate wealth accumulation, American Economic Review, 81, 859
  7. Cropper, 1992, Rates of time preference for saving lives, American Economic Review, 82, 469
  8. Cummings, 1989, The cost-effectiveness of counseling smokers to quit, Journal of the American Medical Association, 261, 75, 10.1001/jama.1989.03420010085038 · DOI · Paper page
  9. Eddy, 1989, Screening for breast cancer, Annals of Internal Medicine, 111, 389, 10.7326/0003-4819-111-5-389 · DOI · Paper page
  10. Eddy, 1990, Screening for cervical cancer, Annals of Internal Medicine, 113, 214, 10.7326/0003-4819-113-3-214 · DOI · Paper page
  11. Ehrlich, 1972, Market insurance, self-insurance, and self-protection, Journal of Political Economy, 80, 623, 10.1086/259916 · DOI · Paper page
  12. Farber, 1978, Individual preferences and union wage determination, Journal of Political Economy, 86, 923, 10.1086/260718 · DOI · Paper page
  13. Friend, 1975, The demand for risky assets, American Economic Review, 65, 900
  14. Garber, 1996, Cholesterol screening in asymptomatic adults, revisited, Annals of Internal Medicine, 124, 518, 10.7326/0003-4819-124-5-199603010-00013 · DOI
  15. Goldman, 1991, Cost-effectiveness of HMG-CoA reductase inhibition for primary and secondary prevention of coronary heart disease, Journal of the American Medical Association, 265, 1145, 10.1001/jama.1991.03460090093039 · DOI · Paper page
  16. Gruber, 1995, Health insurance availability and the retirement decision, American Economic Review, 85, 938
  17. Hall, 1988, Intertemporal substitution, Journal of Political Economy, 96, 339, 10.1086/261539 · DOI · Paper page
  18. Hanemann, 1991, Willingness to pay and willingness to accept: How much can they differ?, American Economic Review, 81, 635
  19. Hansen, 1983, Stochastic consumption, risk aversion, and the temporal behavior of asset returns, Journal of Political Economy, 91, 249, 10.1086/261141 · DOI · Paper page
  20. Hirshleifer, 1966, Investment under uncertainty: Applications of the state-preference approach, Quarterly Journal of Economics, 80, 252, 10.2307/1880692 · DOI · Paper page
  21. Keeler, 1983, Discounting of life-saving and other nonmonetary effects, Management Science, 29, 300, 10.1287/mnsc.29.3.300 · DOI · Paper page
  22. Littenberg, 1990, Screening for hypertension, Annals of Internal Medicine, 112, 192, 10.7326/0003-4819-112-3-192 · DOI · Paper page
  23. Litzenberger, 1986, A utility-based model of common stock price movements, Journal of Finance, 15, 67
  24. Miyamako, 1985, Parameter estimates for a QALY utility model, Medical Decision Making, 5, 191, 10.1177/0272989X8500500208 · DOI
  25. Pauly, 1986, Taxation, health insurance, and market failure in the medical economy, Journal of Economic Literature, 24, 629
  26. Phelps, 1991, On the (near) equivalence of cost effectiveness and cost benefit analysis, International Journal of Technology Assessment in Health Care, 7, 12, 10.1017/S0266462300004803 · DOI · Paper page
  27. Pliskin, 1980, Utility functions for life years and health status, Operations Research, 28, 206, 10.1287/opre.28.1.206 · DOI · Paper page
  28. Pratt, 1964, Risk aversion in the small and in the large, Econometrica, 32, 122, 10.2307/1913738 · DOI · Paper page
  29. Riddiough, 1983, Influenza vaccination: Cost-effectiveness and public policy, Journal of the American Medical Association, 249, 189
  30. Siegel, 1982, Relative risk aversion revisited, Review of Economics and Statistics, 64, 481, 10.2307/1925947 · doi:10.2307/1925947
  31. Sox, 1989, The role of exercise testing in screening for coronary artery disease, Annals of Internal Medicine, 110, 456, 10.7326/0003-4819-110-6-456 · DOI
  32. Szpiro, 1986, Measuring risk aversion: An alternative approach, Review of Economics and Statistics, 68, 156, 10.2307/1924939 · DOI
  33. Torrance, 1986, Measurement of health state utilities for economic appraisal, Journal of Health Economics, 5, 1, 10.1016/0167-6296(86)90020-2 · DOI · Paper page
  34. Torrance, 1987, Utility approach to measuring health-related quality of life, Journal of Chronic Diseases, 40, 593, 10.1016/0021-9681(87)90019-1 · DOI · Paper page
  35. Viscusi, 1989, Rates of time preference and valuations of the duration of life, Journal of Political Economy, 38, 297
  36. Weber, 1970, The effects of interest rates on aggregate consumption, American Economic Review, 60, 591
  37. Weber, 1975, Interest rates, inflation and consumer expenditures, American Economic Review, 65, 843
  38. Weinstein, 1981, Economic assessment of medical practices and technologies, Medical Decision Making, 1, 309, 10.1177/0272989X8100100403 · doi:10.1177/0272989x8100100403

Cited by

See all 766

Metadata

Authors
Garber, A. M., & Phelps, C. E.
Venue
Journal of Health Economics
Publisher
Elsevier BV
Published
1997-02
Volume
16
Issue
1
Pages
1-31
ISSN
0167-6296 (ISSN-L)
OpenAlex
W3044347796
Cited by
766
References
2
FWCI
70.09
Type
journal article
Language
en
Open access
hybrid
Licence

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

How to cite

Cite CoChat for the checks on this page, and the paper for its own findings.

This page
CoChat. (2026). Citation check: Economic foundations of cost-effectiveness analysis. https://app.cochat.ai/papers/10.1016/s0167-6296(96)00506-1
The paper
Garber, A. M., & Phelps, C. E. (1997). Economic foundations of cost-effectiveness analysis. Journal of Health Economics. https://doi.org/10.1016/s0167-6296(96)00506-1

Data sources

Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.