Birch S, Gafni A
Centre for Health Economics and Policy Analysis, McMaster University, Hamilton, Ont, Canada.
J Health Econ. 1992 Oct;11(3):279-96. doi: 10.1016/0167-6296(92)90004-k.
Despite the growing literature on economic evaluation of health care programmes, little attention has been paid to the theoretical foundations of cost-effectiveness and cost utility analyses and the validity of the decision rules adopted as methods of achieving the stated goals. We show that although applications of the techniques can be used to pursue some managerial objectives in the context of highly constrained environments, such applications are inconsistent with both welfare economic objectives and the interpretations of the findings of these applications. Alternative strategies are identified as potential and practical methods for pursuing welfare economic objectives.
尽管关于医疗保健项目经济评估的文献越来越多，但对于成本效益分析和成本效用分析的理论基础以及作为实现既定目标方法所采用的决策规则的有效性，却很少有人关注。我们表明，虽然这些技术的应用可用于在高度受限的环境中追求一些管理目标，但这种应用既不符合福利经济目标，也不符合对这些应用结果的解释。替代策略被确定为追求福利经济目标的潜在和实用方法。
