Cost, context and decisions in Health Economics and cost-effectiveness analysis

Research output: Working paperDiscussion paper

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Cost, context and decisions in Health Economics and cost-effectiveness analysis. / Culyer, Anthony J.

York, UK : Centre for Health Economics, University of York, 2018. p. 1-17 (CHE Research Paper; No. 154).

Research output: Working paperDiscussion paper

Harvard

Culyer, AJ 2018 'Cost, context and decisions in Health Economics and cost-effectiveness analysis' CHE Research Paper, no. 154, Centre for Health Economics, University of York, York, UK, pp. 1-17.

APA

Culyer, A. J. (2018). Cost, context and decisions in Health Economics and cost-effectiveness analysis. (pp. 1-17). (CHE Research Paper; No. 154). York, UK: Centre for Health Economics, University of York.

Vancouver

Culyer AJ. Cost, context and decisions in Health Economics and cost-effectiveness analysis. York, UK: Centre for Health Economics, University of York. 2018 Jun, p. 1-17. (CHE Research Paper; 154).

Author

Culyer, Anthony J / Cost, context and decisions in Health Economics and cost-effectiveness analysis.

York, UK : Centre for Health Economics, University of York, 2018. p. 1-17 (CHE Research Paper; No. 154).

Research output: Working paperDiscussion paper

Bibtex - Download

@misc{4d99859132e640ceae22a6641cf4cb4c,
title = "Cost, context and decisions in Health Economics and cost-effectiveness analysis",
abstract = "Cost in health economics is necessarily associated with a decision. It varies according to the context of that decision: whether about inputs or outputs, the alternatives, its timing, the nature of the commitment to following a decision, who the decision maker is, and the constraints and discretion limiting or liberating the decision maker. Distinctions between short/long runs and betweenfixed/variable inputs are matters of choice, not technology, and are similarly context-dependent. Costs are not harms or negative consequences. Whether ‘clinically unrelated’ future costs and benefits should be counted in current decisions also depends on context. The costs of entire health programmes are context-dependent, relating to planned rates of activity, volumes and timings. The implications for the methods of CEA and HTA are different in the contexts of low- and middleincome countries compared with high-income countries, and further differ contextually according to budget constraints (fixed or variable).",
keywords = "Opportunity cost, choice, Decisions, context, short/long runs, fixed/variable costs, unrelated costs, LMICs",
author = "Culyer, {Anthony J}",
year = "2018",
month = "6",
series = "CHE Research Paper",
publisher = "Centre for Health Economics, University of York",
number = "154",
pages = "1--17",
type = "WorkingPaper",
institution = "Centre for Health Economics, University of York",

}

RIS (suitable for import to EndNote) - Download

TY - UNPB

T1 - Cost, context and decisions in Health Economics and cost-effectiveness analysis

AU - Culyer,Anthony J

PY - 2018/6

Y1 - 2018/6

N2 - Cost in health economics is necessarily associated with a decision. It varies according to the context of that decision: whether about inputs or outputs, the alternatives, its timing, the nature of the commitment to following a decision, who the decision maker is, and the constraints and discretion limiting or liberating the decision maker. Distinctions between short/long runs and betweenfixed/variable inputs are matters of choice, not technology, and are similarly context-dependent. Costs are not harms or negative consequences. Whether ‘clinically unrelated’ future costs and benefits should be counted in current decisions also depends on context. The costs of entire health programmes are context-dependent, relating to planned rates of activity, volumes and timings. The implications for the methods of CEA and HTA are different in the contexts of low- and middleincome countries compared with high-income countries, and further differ contextually according to budget constraints (fixed or variable).

AB - Cost in health economics is necessarily associated with a decision. It varies according to the context of that decision: whether about inputs or outputs, the alternatives, its timing, the nature of the commitment to following a decision, who the decision maker is, and the constraints and discretion limiting or liberating the decision maker. Distinctions between short/long runs and betweenfixed/variable inputs are matters of choice, not technology, and are similarly context-dependent. Costs are not harms or negative consequences. Whether ‘clinically unrelated’ future costs and benefits should be counted in current decisions also depends on context. The costs of entire health programmes are context-dependent, relating to planned rates of activity, volumes and timings. The implications for the methods of CEA and HTA are different in the contexts of low- and middleincome countries compared with high-income countries, and further differ contextually according to budget constraints (fixed or variable).

KW - Opportunity cost

KW - choice

KW - Decisions

KW - context

KW - short/long runs

KW - fixed/variable costs

KW - unrelated costs

KW - LMICs

M3 - Discussion paper

T3 - CHE Research Paper

SP - 1

EP - 17

BT - Cost, context and decisions in Health Economics and cost-effectiveness analysis

PB - Centre for Health Economics, University of York

ER -