Theory And Methods Of Economic Evaluation Of Health Care

Most economic evaluations of health care programmes at the moment are cost effectiveness and cost-utility analyses. The problem with these methods is that their theoretical foundations are unclear. This has led to confusion about how to define the costs and health effects and how to interpret the results of these studies. In the environmental and traffic safety fields it is instead common to carry out traditional cost-bene:fit analyses of health improving programmes. This striking difference in how health programmes are assessed in different fields was the original motivation for writing this book. The aim of the book is to tty and provide a coherent framework within cost-bene:fit analysis and welfare economics for the different methods of economic evaluation in the health care field. The book is written in an easily accessible manner and several examples of applications of the different methods are provided. It is my hope that it will be useful both for teaching purposes and as a guide for practitioners in the field. Glenn C. Blomquist, John D. Graham, Rich O'Conor and four anonymous referees provided helpful comments on previous versions of the manuscript. I would also like to express my gratitude to the following persons for helping me to prepare the manuscript: Carl-Magnus Berglund, Carin Blanksvard, Ann Brown, and Ziad Obeid.

To accompany the hugely sccessful 'Methods for Economic Evaluation of Health Care Programmes 2e', this book is a thorough and rigourous discussion of the methodological principles and recent advances in the rapidly advancing field of theory and practice of economic evaluation in health care. Written by an internationally acclaimed group of authors, the book provides an in-depth discussion of the latest theoretical advances and gives comprehensive reviews of the available literature. The book covers the main areas of economic evaluation, including the methods for measuring costs and outcomes, the collection of data alongside clinical studies, ways of handling uncertainty, discounting and issues relating to the transferability of economic data. It is an ideal book for those studying economic evaluation on postgraduate or professional courses in health economics or public health.

This highly successful textbook is now in its fourth edition, and has been extensively updated in order to keep pace with the considerable advances in theory and practice in recent years.

As concern over costs grows in the health care sector, those involved in health economics require a clear understanding of methods used in cost-effectiveness, cost benefit, and cost-utility studies. This book provides the reader with the necessary methodological tools for undertaking the task of economic evaluation and includes discussions of many case studies, helpful illustrations, and simple exercises.

Health economics is concerned with the evaluation of the effectiveness of health care, particularly by examining the social opportunity costs of alternative forms of treatment. The peculiar nature of the market for health care – that doctors have a major influence on both supply and demand -.has attracted attention, as has the study of the options available for financing such services. Economic Analysis in Health Care provides a comprehensive coverage of both the economics of health care systems and the evaluation of health care technologies. It has been written as a core textbook for advanced undergraduate and postgraduate students with knowledge of economic analysis and will appeal to an international audience. Adopts an international perspective, using examples and case studies from the UK, the rest of Europe, and other countries. Contains detailed exposition of the economic theory alongside relevant examples and applications Focuses on both market-related and economic evaluation aspects of health economics (some books focus purely on market-related aspects) Strong author team with very broad experience of writing and teaching health economics

Professor Brent s book is a superb and much-needed text in the field of health care evaluation. The economic approaches for appraisal of health care programs are presented with greater clarity than any other available text. A comprehensive review of cost-minimization, cost-effectiveness analysis, cost utility analysis, and cost benefit analysis is given in a simple and yet very insightful manner that pointedly demonstrates their fundamental principles, methodological requirements, and common linkages for evaluation research. The book skilfully merges theory and application of the economic analyses of health care, combining the latest literature with adroit illustrations of required methodologies and easily understandable examples that inform the reader of how empirical evaluation research should be conducted. Major evaluation concerns about the appropriateness of discounting health benefits, the appropriate discount (interest) rate, and intangible benefits and costs are critically appraised. Not only is the criterion of economic efficiency of health care programs explored directly and with lucidity, but the important social question of the equity of health interventions is also assessed straightforwardly. Students of health care as well as health policy analysts and administrators are provided with a considerable solid foundation for undertaking evaluation of complex health care issues. In short, Professor Brent has even made the economics of health care evaluation accessible to non-economists in the health care field. Paul L. Solano, University of Delaware, US Cost benefit analysis is the only method of economic evaluation which can effectively indicate whether a health care treatment or intervention is worthwhile. This book attempts to build a bridge between cost benefit analysis, as developed by economists, and the health care evaluation literature which relies on other evaluation approaches such as cost-minimization, cost-effectiveness analysis and cost utility analysis. Robert Brent explains the many different ways in which these other valuation techniques can be converted into cost benefit analysis and examines both the traditional (human capital) and modern (willingness to pay) approaches. Case studies are used throughout to explain and illustrate the various methodologies being examined. The author follows an applied economics approach, in which methods and ideas are evaluated according to practicability and not according to their theoretical purity. Ultimately, he resolves a number of disputes and makes some new, but subtle, contributions by reinterpreting, correcting and extending existing work. The book covers the topic in an accessible manner, from the foundations to the frontiers of the field, and clearly explains all the necessary economic principles along the way. Cost Benefit Analysis and Health Care Evaluations will be invaluable to students and researchers of economics, public policy and health care policy, as well as policymakers and health care practitioners. It can also be used as a comprehensive introductory text by anyone with an interest in cost benefit analysis.

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)