Culyer, Anthony J (2018) Cost, context and decisions in Health Economics and cost-effectiveness analysis. Discussion Paper. CHE Research Paper . Centre for Health Economics, University of York , York, UK.
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 between fixed/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).
Metadata
Item Type: | Monograph |
---|---|
Authors/Creators: |
|
Keywords: | Opportunity cost,choice,Decisions,context,short/long runs,fixed/variable costs,unrelated costs,LMICs |
Dates: |
|
Institution: | The University of York |
Academic Units: | The University of York > Faculty of Social Sciences (York) > Centre for Health Economics (York) The University of York > Faculty of Social Sciences (York) > Centre for Health Economics (York) > CHE Research Papers (York) |
Depositing User: | Pure (York) |
Date Deposited: | 10 Jul 2018 14:20 |
Last Modified: | 08 Feb 2025 00:04 |
Status: | Published |
Publisher: | Centre for Health Economics, University of York |
Series Name: | CHE Research Paper |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:132903 |
Download
Filename: CHERP154_Cost_context_decisions_health_economics.pdf
Description: CHERP154_Cost_context_decisions_health_economics