Is economic evaluation in touch with society's health values?

摘要

1. Cost effectiveness analysis is based on achieving an assumed societal objective of maximising health 2. Little evidence exists that this is the desired objective of the public or decision makers 3. Use of QALYs as a single outcome measure for economic evaluation means that important health consequences are excluded 4. Complex technical presentation makes the findings difficult to understand and use 5. Cost-consequences analysis would better approach the objectives of decision makers and be easier to understand.