Title

Practice and Protocol Analyses of Cost-Effectiveness: An Inconvenient Distinction

Document Type

Article

Publication Date

2010

Publication Source

Ethics in Biology, Engineering and Medicine

Volume

1

Issue

3

Inclusive pages

187-197

DOI

10.1615/EthicsBiologyEngMed.v1.i3.30

ISBN/ISSN

2151805X

Peer Reviewed

yes

Abstract

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.

Keywords

cost-effectiveness, medical research, randomized clinical trials, patient preferences

Disciplines

Philosophy

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