The DOI matches its Crossref record; 11 of the 11 references it cites were found in a registry or an index.
A Clinician's Guide to Cost-Effectiveness Analysis
Abstract
Cost-effectiveness analysis can be used to help set priorities for funding health care programs. For each intervention, the costs and clinical outcomes associated with that strategy must be compared with an alternate strategy for treating the same patients. If an intervention results in improved outcomes but also costs more, the incremental cost per incremental unit of clinical outcome should be calculated. The incremental cost-effectiveness ratios for various programs can be ranked to set funding priorities. By using this list, the person responsible for allocating resources can maximize the net health benefit for a target population derived from a fixed budget. Clinicians may not share this objective because, individually, they are appropriately concerned solely with the effectiveness of a specific intervention for their patients and are not concerned with the benefit derived from spending those resources on other patients in the target population. In addition, allocation may be driven by distributional and political objectives. Nevertheless, cost-effectiveness analysis demonstrates the consequences of allocation decisions. Because clinicians should participate in policy making, they must understand d the role of this technique in setting funding priorities.
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Cites
Methods for the Economic Evaluation of Health Care Programmes
Drummond, M. E., Sculpher, M. J., Torrance, G. W., O’Brien, B. J., & Stoddart, G. L. (2005) · doi:10.1093/oso/9780198529446.001.0001 · Cited by 13,648
Measurement of health state utilities for economic appraisal
Torrance, G. W. (1986) · Journal of Health Economics · doi:10.1016/0167-6296(86)90020-2 · Cited by 2,203
The Distinction Between Cost and Charges
FINKLER, S. A. (1982) · Annals of Internal Medicine · doi:10.7326/0003-4819-96-1-102 · Cited by 1,052
Methodology for measuring health-state preferences—II: Scaling methods
Froberg, D. G., & Kane, R. L. (1989) · Journal of Clinical Epidemiology · doi:10.1016/0895-4356(89)90136-4 · Cited by 536
Quality-adjusted life years, utility theory, and healthy-years equivalents
Mehrez, A., & Gafni, A. (1989) · Medical Decision Making · doi:10.1177/0272989x8900900209 · Cited by 469
Economic Evaluation of Neonatal Intensive Care of Very-Low-Birth-Weight Infants
Boyle, M. H., Torrance, G. W., Sinclair, J. C., & Horwood, S. P. (1983) · New England Journal of Medicine · doi:10.1056/nejm198306023082206 · Cited by 464
Use and Misuse of the Term “Cost Effective” in Medicine
Doubilet, P., Weinstein, M. C., & McNeil, B. J. (1986) · New England Journal of Medicine · doi:10.1056/nejm198601233140421 · Cited by 417
Measuring quality of life in clinical trials: a taxonomy and review.
Guyatt, G. H., van Zanten, S. J. V., Feeny, D. H., & Patrick, D. L. (1989) · Europe PMC (PubMed Central) · Cited by 408
Evaluation of Neonatal-Intensive-Care Programs
Sinclair, J. C., Torrance, G. W., Boyle, M. H., Horwood, S. P., Saigal, S., & Sackett, D. L. (1981) · New England Journal of Medicine · doi:10.1056/nejm198108273050904 · Cited by 150
Should QALYs be programme-specific?
Donaldson, C., Atkinson, A., Bond, J., & Wright, K. (1988) · Journal of Health Economics · doi:10.1016/0167-6296(88)90027-6 · Cited by 87
Cited by
Markov Models in Medical Decision Making: A Practical Guide
Sonnenberg, F. A., & Beck, J. R. (1993) · Medical Decision Making · doi:10.1177/0272989x9301300409 · Cited by 2,419
Jellinger, P. S., Handelsman, Y., Rosenblit, P. D., Bloomgarden, Z. T., Fonseca, V. A., Garber, A. J., Grunberger, G., Guerin, C. K., Bell, D. S. H., Mechanick, J. I., et al. (2017) · Endocrine Practice · doi:10.4158/ep171764.appgl · Cited by 1,094
Assessing cost-effectiveness in healthcare: history of the $50,000 per QALY threshold
Grosse, S. D. (2008) · Expert Review of Pharmacoeconomics & Outcomes Research · doi:10.1586/14737167.8.2.165 · Cited by 637
Psychometric considerations in evaluating health-related quality of life measures
Hays, R. D., Anderson, R., & Revicki, D. (1993) · Quality of Life Research · doi:10.1007/bf00422218 · Cited by 513
Portal hypertension and variceal bleeding: An AASLD single topic symposium†
Grace, N. D., Groszmann, R. J., Garcia-Tsao, G., Burroughs, A. K., Pagliaro, L., Makuch, R. W., Bosch, J., Stiegmann, G. V., Henderson, M. J., de Franchis, R., et al. (1998) · Hepatology · doi:10.1002/hep.510280339 · Cited by 398
Metadata
- Authors
- Detsky, A. S., & Naglie, I. G.
- Venue
- Annals of Internal Medicine
- Publisher
- American College of Physicians
- Published
- 1990-07-15
- Volume
- 113
- Issue
- 2
- Pages
- 147-154
- ISSN
- 0003-4819 (ISSN-L)
- 1539-3704
- OpenAlex
- W2090011060
- Cited by
- 708
- References
- 11
- FWCI
- 75.77
- Type
- journal article
- Language
- en
- Open access
- closed
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