Opportunity costs and uncertainty in the economic evaluation of health care interventions
Opportunity costs and uncertainty in the economic evaluation of health care interventions
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DOI:
10.1002/hec.641
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发表时间:
2002-01-01
期刊:
影响因子:
2.1
通讯作者:
Birch, S
中科院分区:
文献类型:
--
作者:
Sendi, P;Gafni, A;Birch, S
Considerable methodological research has been conducted on handling uncertainty in cost-effectiveness analysis. The current literature suggests the concepts of net health benefits and cost-effectiveness acceptability curves to circumvent the technical shortcomings of cost-effectiveness ratio statistics. However, these approaches do not provide a solution for the inherent problem that the threshold cost-effectiveness ratio itself is unknown. The authors suggest analysing uncertainty in cost-effectiveness analysis by directly addressing the concept of opportunity costs using the decision rule described by Birch and Gafni (1992) and introduce a new graphical framework (the 'decision making plane') for communicating with policy makers. Copyright (C) 2002 John Wiley Sons, Ltd.