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The science of making better decisions about health: Cost-effectiveness and cost-benefit analysis

By Louise B. Russell


Despite spending far more on medical care, Americans live shorter lives than the citizens of other high-income countries. The situation has been getting worse for at least three decades. This paper describes the main scientific methods for guiding the allocation of resources to health - cost-effectiveness analysis (CEA) and cost-benefit analysis (CBA), sketches their methodological progress over the last several decades, and presents examples of how medical practice in other high-income countries, where people live longer, follows the priorities indicated by cost-effectiveness analysis. CEA and CBA support democratic decision-making processes, which have themselves benefited from scientific inquiry; these are touched on at the end of the paper

Topics: H4, I1, D61, ddc:330, cost-effectiveness analysis, cost-benefit analysis
Publisher: New Brunswick, NJ: Rutgers University, Department of Economics
Year: 2014
OAI identifier:
Provided by: EconStor

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