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Using Cost-Effectiveness Analysis to Improve Health CareOpportunities and barriers$
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Peter J. Neumann

Print publication date: 2004

Print ISBN-13: 9780195171860

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780195171860.001.0001

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The Promise and Promotion of CEA

The Promise and Promotion of CEA

(p.11) 2 The Promise and Promotion of CEA
Using Cost-Effectiveness Analysis to Improve Health Care

Peter J. Neumann

Oxford University Press

This chapter traces the intellectual roots of cost-effectiveness analysis in health care. It also provides a brief history of CEA in health applications. It argues that the emergence of CEA in the 1960s and 1970s represented a paradigm shift in that it reflected a growing awareness that American medicine had exceeded society's capacity to pay for all of the health care that people could use to actually improve their health. It highlights that in 1970s and early 1980s, cost-effectiveness analyses of health problems began to appear in major medical journals, including influential papers examining the cost-effectiveness of inexpensive tests for cancer screening, of strategies to manage hypertension, and of vaccines for pneumococcal pneumonia.

Keywords:   cost-effectiveness analysis, CEA, health applications, cancer screening, hypertension, pneumococcal pneumonia, health care, public health

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