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The cost-effectiveness challenge: is it worth it?

Knapp, Martin ORCID: 0000-0003-1427-0215 (2015) The cost-effectiveness challenge: is it worth it? Alzheimer's Research and Therapy, 7 (1). pp. 1-3. ISSN 1758-9193

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Identification Number: 10.1186/s13195-015-0095-4


Scarcity of resources means that difficult choices have to be made about to use them. Cost-effectiveness evidence provides a way to help decision-makers get ‘best value’ from their resources when choosing between two or more clinical or other interventions. Often it is found that one intervention has better outcomes than another, but also costs more. In these circumstances there is a need for the decision-maker to reach a view as to whether those better outcomes are ‘worth’ the higher costs, necessitating difficult trade-offs. Illustrations from the dementia field are given to illustrate how these trade-offs might be made. For strategic decisions it has often proved helpful to use a generic outcome measure such as the quality-adjusted life year (QALY). The fundamental aim of a healthcare system is not to save money, but to save and improve lives. Cost-effectiveness and similar analyses can help by showing how to get the most out of available resources.

Item Type: Article
Official URL:
Additional Information: © 2015 Knapp; licensee BioMed Central. This is an Open Access article distributed under the terms of the Creative Commons Attribution License 4.0.
Divisions: Social Policy
Personal Social Services Research Unit
Subjects: H Social Sciences > HC Economic History and Conditions
H Social Sciences > HV Social pathology. Social and public welfare. Criminology
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Date Deposited: 08 Dec 2014 12:01
Last Modified: 16 May 2024 02:00
Funders: National Institute for Health Research, Medical Research Council

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