Methods for the Economic Evaluation of Health Care Programmes

by ; ; ;
Edition: 2nd
Format: Hardcover
Pub. Date: 1997-09-25
Publisher(s): Oxford University Press
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Summary

Since its publication in 1987, Methods for the economic evaluation of health care programmes has become the standard textbook in this field world-wide. Over the past ten years, the field of economic evaluation in health care has expanded considerably, with a rapid rise in the number of published studies, and wider recognition of their use in health care decision-making. Developments in economic evaluation have also led to the publication of several guidelines for study methodology, most recently those proposed by the United States Public Health Services Panel. The new edition of Methods for the economic evaluation of health care programmes follows the same basic structure as the first edition. The key methodological principles are outlined using a critical appraisal checklist that can be applied to any published study. The methodological features of the basic forms of analysis (cost analysis, cost-effectiveness analysis, cost-utility analysis, and cost-benefit analysis) are then explained in more detail. The book has been greatly revised and enlarged, especially with respect to cost-utility and cost- benefit analysis, where major methodological developments have taken place. New to this edition are chapters on collecting and analysing data, and presenting and using economic evaluation results. The new edition will be required reading for anyone commissioning, undertaking, or using economic evaluations in health care, and will be popular with health service professionals, health economists, and health-care decision makers. Reviews of the first edition: 'An important contribution to studies on the economic evaluation of medical care...' (British Medical Journal) 'This is essential reading. Only if all managers are aware of the powers of economic techniques will they be used sensibly' (The Health Service Journal (UK) 'The methodological chapters on cost analysis and cost utility analysis are gems... should become the standard text on the subject at the intermediate level at which it is aimed.' (Medical Decision Making) 'It leaves nothing important in economic evaluation analysis untouched.' (Health Policy and Planning)

Table of Contents

Preface to the first edition v
Acknowledgements vi
Preface to the second edition vii
How to use this book
1(5)
Basic types of economic evaluation
6(21)
Why is economic evaluation important?
7(1)
What does economic evaluation mean?
8(3)
Do all economic evaluations use the same techniques?
11(6)
What are the relevant costs and consequences in the economic evaluation of health care programmes?
17(10)
Critical assessment of economic evaluation
27(25)
Elements of a sound economic evaluation
29(15)
Limitations of economic evaluation techniques
44(1)
Conclusions
45(1)
Critical appraisal of a published article
45(7)
Cost analysis
52(44)
Some basics
52(16)
Allowance for differential timing of costs (discounting and the annuitization of capital expenditures)
68(6)
Allocation of overhead costs: example
74(7)
Exercise: costing alternative radiotherapy treatments
81(15)
Annex 4.1. Tutorial on methods of measuring and valuing capital costs
88(4)
Annex 4.2. Discount Tables
92(4)
Cost-effectiveness analysis
96(43)
Some basics
96(16)
Exercise: designing a cost-effectiveness study
112(12)
Critical appraisal of a published article
124(4)
Use of quality-of-life scales in economic evaluation
128(3)
Interpreting incremental cost-effectiveness ratios
131(8)
Cost-utility analysis
139(66)
Some basics
139(4)
Utilities
143(7)
Measuring preferences
150(7)
Multi-attribute health status classification systems with preference scores
157(8)
Quality-adjusted life-years (QALYs)
165(18)
Advanced topics
183(2)
Critical appraisal of a published article
185(20)
Annex 6.1. Simulated interview
199(6)
Cost-benefit analysis
205(27)
Some basics
205(3)
Assigning money values to health outcomes
208(9)
What might we mean by willingness-to-pay?
217(5)
Pragmatic measurement issues
222(3)
Conclusions
225(1)
Exercise: designing a contingent valuation survey for a new treatment for ovarian cancer
225(7)
Collection and analysis of data
232(33)
Introduction
232(3)
Economic evaluation and clinical trials
235(7)
Modelling studies: approaches and issues
242(5)
Analysis plans for economic evaluation
247(1)
Statistical analysis and economic evaluation
248(8)
Research agenda
256(1)
Conclusions
257(1)
Exercise: economic evaluation alongside clinical trials - a case study in osteoporosis
258(7)
Presentation and use of economic evaluation results
265(28)
Introduction
265(1)
Reporting formats for economic evaluation
266(2)
Interpreting cost-effectiveness `league tables'
268(4)
Transferring economic evaluation results from setting to setting
272(12)
Problems and potential for using economic evaluation in decision-making
284(6)
Conclusions
290(3)
How to take matters further
293(4)
Economic evaluator's survival guide
293(2)
Additional literature
295(2)
Author index 297(2)
Subject index 299

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