Ideas About Resourcing Health Care in the United States : Can Economic Evaluation Achieve Meaningful Use?

The United States is one of the few high-income countries not to apply economic evaluation routinely to health care decision making on a national level, yet it excels at spending least efficiently on health care. In the interest of continuing to develop new solutions to curb spending on health care and reduce waste in the United States, perhaps now is an important moment to reconsider the benefits of economic evaluation and the barriers that must be overcome to have it emerge as a solution for health care institutions and the patients they serve. This article offers several distinct considerations to make economic evaluation methods (such as cost-effectiveness analysis) an effective component of value-based decision making in the United States. These considerations include overcoming the barriers presented by opportunity costs, spending on health care services versus biomedical technologies, phasing out low-value care, using value of information to prioritize resources, and determining what to do with the quality-adjusted life-year. These issues need to be addressed to achieve a collective purpose for economic evaluation at state and national levels.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:174

Enthalten in:

Annals of internal medicine - 174(2021), 1 vom: 15. Jan., Seite 80-85

Sprache:

Englisch

Beteiligte Personen:

Padula, William V [VerfasserIn]
Sculpher, Mark J [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Review

Anmerkungen:

Date Completed 09.02.2021

Date Revised 09.02.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.7326/M20-1234

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM315571861