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  1. The role of cost-effectiveness analysis in health and medicine.

    Article - En anglais

    Objective

    - To develop consensus-based recommendations guiding the conduct of cost-effectiveness analysis (CEA) to improve the comparability and quality of studies.

    The recommendations apply to analyses intended to inform the allocation of health care resources across a broad range of conditions and interventions.

    This article, first in a 3-part series, discusses how this goal affects the conduct and use of analyses.

    The remaining articles will outline methodological and reporting recommendations, respectively.

    Participants

    - The Panel on Cost-Effectiveness in Health and Medicine, a nonfederal panel with expertise in CEA, clinical medicine, ethics, and health outcomes measurement, was convened by the US Public Health Service (PHS).

    Evidence. - The panel reviewed the theoretical foundations of CEA, current practices, and altemative procedures for measuring and assigning values to resource use and health outcomes.

    Consensus Process. - The panel met 11 times during 2 1/2 years with PHS staff and methodologists from federal agencies.

    Working groups brought issues and preliminary recommendations to the full panel for discussion.

    Draft recommendations were circulated to outside experts and the federal agencies prior to finalization.

    Conclusions

    - The panel's recommendations define a « reference case » cost-effectiveness analysis, a standard set of methods to serve as a point of comparison across studies. (...)

    Mots-clés Pascal : Analyse coût efficacité, Intervention, Santé, Méthodologie, Economie santé, Homme, Etats Unis, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Cost efficiency analysis, Operation, Health, Methodology, Health economy, Human, United States, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0474269

    Code Inist : 002B30A01C. Création : 10/04/1997.