Recent Advances in the Methods of Cost-Benefit Analysis in HealthcareMatching the Art to the Science

被引:0
|
作者
Emma McIntosh
Cam Donaldson
Mandy Ryan
机构
[1] University Medical Buildings,Health Economics Research Unit, Department of Public Health
[2] University of Calgary,Departments of Community Health Sciences and Economics
来源
PharmacoEconomics | 1999年 / 15卷
关键词
Adis International Limited; Economic Evaluation; Contingent Valuation; Conjoint Analysis; Production Gain;
D O I
暂无
中图分类号
学科分类号
摘要
This paper outlines recent advances in the methods of cost-benefit analysis (CBA). Economic evaluations in healthcare can be criticised for, amongst other things, the inappropriate use of incremental cost-effectiveness ratios and the reporting of benefits in terms of cost savings, such as treatment costs averted. Many such economic evaluations are, according to the ‘scientific’ definition, CBAs. The ‘balance-sheet’ (or opportunity cost) approach is a form of CBA which can be used to identify who bears the costs and who reaps the benefits from any change. Whilst the next stage in a CBA, as defined in health economics, would require that all costs and benefits be valued in monetary terms, the balance-sheet approach, however, advocates that available monetary values can be augmented by other measures of cost and benefit. As such, this approach, which has a theoretical basis, is proposed as a practical prescription for CBA and highlights the notion that unquantified benefits are important and can be included within CBAs even when monetarisation is not possible.
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页码:357 / 367
页数:10
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