Cost-effectiveness analysis for priority setting in health: Penny-wise but pound-foolish

Baltussen, Rob, Brouwer, Werner and Niessen, Louis (2005) Cost-effectiveness analysis for priority setting in health: Penny-wise but pound-foolish. International Journal of Technology Assessment in Health Care, 21 (04). pp. 532-534. ISSN 0266-4623

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Cost-effectiveness analysis has much conceptual attractiveness in priority setting but is not used to its full potential to assist policy-makers on making choices in health in developed or in developing countries. We call for a shift away from present economic evaluation activities—that tend to produce ad hoc and incomparable economic evaluation studies and, therefore, add little to the compendium of knowledge of cost-effectiveness of health interventions in general—toward a more systematic approach. Research efforts in economic evaluation should build on the foundations of cost-effectiveness research of the past decades to arrive at an informative methodology useful for national policy-makers. This strategy means that governments should steer sectoral cost-effectiveness analysis to obtain systematic and comprehensive information on the economic attractiveness of a set of new and current interventions, using a standardized methodology and capturing interactions between interventions. Without redirecting the focus of economic evaluation research, choosing in health care bears the risk to remain penny-wise but pound-foolish.

Item Type: Article
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Groups > Health Economics
Depositing User: Val Knights
Date Deposited: 09 Jun 2011 13:05
Last Modified: 01 Mar 2023 09:30
DOI: 10.1017/S0266462305050750

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