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  Vol. 6 No. 6, November 1997 TABLE OF CONTENTS
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What Is a Cost-effectiveness Analysis?

Diane M. Harper, MD, MPH
Dartmouth Medical School Hanover, NH

Arch Fam Med. 1997;6(6):527-528.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The editorial by Reed1 in response to the work by Chesebro and Everett2 was quite welcome. Any study that claims to be a cost-benefit analysis or a cost-effectiveness analysis must meet stringent criteria for methodology. The standards for these analyses are described in the book by Gold et al titled Cost-Effectiveness in Health and Medicine.3 The National Institutes of Health believed that the standardization of this methodology was so important that it sponsored a work-shop on cost-effectiveness in health and medicine in late November 1996. More than 300 nationally recognized researchers in this field participated in this conference.

Chesebro and Everett used the right "buzz words" in their work but did not appear to have the correct methodology to support the work. The structure of a cost-benefit or cost-effectiveness analysis starts with a decision model of the question. Chesebro and Everett did not have a decision . . . [Full Text PDF of this Article]






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