Cost effectiveness. How should it be determined?

Eval Health Prof. 1988 Jun;11(2):213-30. doi: 10.1177/016327878801100205.

Abstract

The purpose of this article is to compare three commonly used indices of cost-effectiveness: the cost-effectiveness ratio, the cost-benefit ratio, and net benefit. We show that these indices can be interpreted to be consistent with one another and consistent with the traditional economic definition of cost-effectiveness. Further, we show that the relative cost-effectiveness of competing strategies cannot be determined by simply comparing their respective cost-benefit or cost-effectiveness ratios, but can be determined by comparing their respective net benefits. Finally, we show that cost-effectiveness ratios cannot be properly interpreted without consideration of the dollar value of health benefits.

MeSH terms

  • Abstracting and Indexing
  • Cost-Benefit Analysis / methods*
  • Health Services Research / economics*
  • Models, Theoretical
  • United States
  • Value of Life