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Evidence-Based Nursing 2008;11:99-102; doi:10.1136/ebn.11.4.99
Copyright © 2008 by BMJ Publishing Group Ltd & RCN Publishing Company Ltd.

EBN NOTEBOOK

Critical appraisal of cost-effectiveness and cost-utility studies in health care

Marta Soares, Jo C Dumville

Department of Health Sciences, University of York; York, UK

The first 150 words of the full text of this article appear below.

Increasingly, cost-effectiveness and cost-utility analyses (broadly referred to as cost-effectiveness analyses [CEAs]) are used to inform resource allocation decisions in health care. National bodies, such as the UK National Institute of Health and Clinical Excellence (NICE), prefer CEAs to cost–benefit and cost-minimisation studies.

CEAs assess value for money by relating the costs and consequences (effects) of 2 or more health technologies. Ascertaining value for money is important since healthcare sectors have fixed budgets. This means that a decision made in favour of one technology is associated with an opportunity cost in the form of the health technologies now forgone. In our previous Notebook,1 we gave an overview of what economic evaluation involves and why such research is important.

Like all forms of research evidence, CEAs need to be critically appraised for validity, clinical importance, and applicability before they are given a "weight" in decision-making processes. The aim of this Notebook . . . [Full text of this article]


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