A review of cost-effectiveness analysis: From theory to clinical practice

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art_BRANDAO_A_review_of_costeffectiveness_analysis_From_theory_to_2023.PDF (779.07 KB)
Citações na Scopus
0
Tipo de produção
article
Data de publicação
2023
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
LIPPINCOTT WILLIAMS & WILKINS
Autores
ROCCA, Hans-Peter Brunner-La
LIMA, Antonio Carlos Pedroso de
Citação
MEDICINE, v.102, n.42, article ID e35614, 7p, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Cost-effectiveness analysis has long been practiced; registries date back to the United States of America War Department in 1886. In addition, everyone does intuitive cost-effectiveness analyses in their daily lives. In routine medical care, health economic assessment becomes increasingly important due to progressively limited resources, rising demands, population increases, and continuous therapeutic innovations. The health economic assessment must analyze the outcomes and costs of actions and technologies as objectively as possible to guarantee efficient assessment of novel interventions for Public Health Policy. In other words, it is necessary to determine how much society or patients are willing to or able to pay for novel interventions compared with existing alternatives, given the available resources. In addition, increased cost may displace other health care services already provided in case of fixed budget health care systems. To conduct such analyses, researchers must use standard methodologies and interpretations in light of regional characteristics according to social and economic determinants as well as clinical practice. Such an approach may be essential for transforming the current healthcare system to a value-based model. In this narrative review, concepts of the importance of and some approaches to health economic evaluation in clinical practice will be discussed.
Palavras-chave
bootstrapping and health policy, cost-effectiveness analysis, cost-utility analysis, health economics, QALY
URI
https://observatorio.fm.usp.br/handle/OPI/57886
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MCP
Artigos e Materiais de Revistas Científicas - HC/InCor
Artigos e Materiais de Revistas Científicas - LIM/11