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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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Imagining a Future for CEA

Imagining a Future for CEA

(p.107) 9 Imagining a Future for CEA
Using Cost-Effectiveness Analysis to Improve Health Care

Peter J. Neumann

Oxford University Press

After twenty-five years of cost-effectiveness analysis in health and medicine, it is a good time to reassess its impact. Has cost-effectiveness analysis had any influence? The short answer is, “of course.” Cost-effectiveness analyses have become a ubiquitous presence in health and medical journals, and an important component of evidence-based medicine. By its sheer existence, CEA changes the nature of conversations about the impact of investments in health care. It forces and focuses discussions about the value of health and medical services within a clear theoretical framework. The thousands of articles in the peer-reviewed literature over the years attest to its currency among researchers and thought leaders. It exerts an influence over decisions large and small—of formulary committees, technology assessment panels, guideline developers, and public health agencies.

Keywords:   health services, cost-effectiveness analysis, value, resource allocation

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