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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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Understanding the Resistance

Understanding the Resistance

(p.28) 4 Understanding the Resistance
Using Cost-Effectiveness Analysis to Improve Health Care

Peter J. Neumann

Oxford University Press

This chapter argues that resistance to CEA, in part, reflects American cultural conventions, which lean toward market-based solutions and away from government policies that examine returns on investment in medical interventions from the public's perspective. Another challenge involves the evidence base. Cost-effectiveness data often are unavailable at the time of a technology's diffusion into practice. Existing CEAs may ignore the practical needs of decision makers by excluding implementation costs for programs or the fidelity of implementation in actual practice.

Keywords:   cost-effectiveness analysis, healthcare, American cultural conventions, market-based solutions

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