Economic and Medical Evaluation of Health Care Technologies by K. L. White (auth.), Professor Anthony J. Culyer, Dr. med.
By K. L. White (auth.), Professor Anthony J. Culyer, Dr. med. Bruno Horisberger (eds.)
All too often, the biggest powerful barrier to interdisciplinary conversation is jargon. The symposium whose court cases seem within the following pages sought, in fact, to get rid of pointless and obscurantist jargon; however it sought additionally to do whatever way more formidable - to confront the highbrow matters which are hooked up to using the observe "evaluation" in drugs and overall healthiness companies. To this finish a gently chosen staff of specialists in drugs, epidemiology, and overall healthiness econom ics was once invited to offer papers. They have been chosen for his or her reputations both as conceptualizers or as empirical evaluators, or - the rarest breed of specialist - as either. The context was once to be empirical. 3 strategies have been chosen that have been topic to evaluate yet that posed particularly forms of challenge. the 1st was once the remedy of renal failure via dialysis of varied types. This has a comparatively lengthy heritage of review, with a wide literature, and especially increases vast coverage is sues in the well-being companies of Western societies as to - the dimensions of programmes to be supplied; the kind, situation, and combine of remedies; the choice of sufferers to obtain remedy; and the dimension of the luck of varied thoughts. the second one was once the remedy of duodenal ulcer by way of a brand new species of drug - the hista mine Hrreceptor antagonists (specifically, cimetidine).
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Extra info for Economic and Medical Evaluation of Health Care Technologies
Example text
The issues that must be attended to in performing an evaluative study are quite different from the methods used in bench research. Riecken (1977) has identified four "principal components" or categories of interest in performing evaluation research. These components, not intended to be mutually exclusive, but equally appropriate for medical evaluation of health care technology, include: 1) Ethical/legal - issues dealing with protection of the study population from invasion of privacy, adverse effects, and improper use of information (breaches in confidentiality).
For example, untreated venereal disease requires medical intervention to protect the health of the public, especially those at risk of being exposed to possible contagion. Legal sanctions may be invoked to ensure that the infected individual is indeed treated medically. Society may, for example, provide publically supported services for the mentally ill, especially when they are a danger to themselves or others. Family planning services and immunization against common communicable diseases are further examples of socially determined need.
In a CBA where the benefits are dissimilar, the costs are usually assessed and expressed in monetary units and the "values" or relative worth of the benefits being compared are also expressed to the extent possible in monetary units. The ratios between the costs and the benefits for the two types of enterprises can then be compared, e. , a smoking-cessation campaign for teenagers versus a pneumonia-immunization program for all those over 65 years of age. In this case, a clinical trial of the efficacy of the maneuvers to be used and an assessment of the effectiveness of the service systems to provide the interventions would enter into the analysis.