Practice and Protocol Analyses of Cost-Effectiveness: An Inconvenient Distinction
Ethics in Biology, Engineering and Medicine
Using four examples of cost-effectiveness analyses, I argue that discussions of and research on cost-effectiveness in medical practice should clearly delineate between protocol and practice cost-effectiveness analyses. Failure to do so risks confusing conclusions that warrant substantial confidence and limited applicability with conclusions with broader applicability but more limited confidence. Further, these different types of analyses incorporate different sets of values. I argue that some favor should be shown for those analyses that include a wider array of values.
cost-effectiveness, medical research, randomized clinical trials, patient preferences
Abraham Schwab (2010).
Practice and Protocol Analyses of Cost-Effectiveness: An Inconvenient Distinction. Ethics in Biology, Engineering and Medicine.1 (3), 187-197.