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Cost-effectiveness and fairness in health care: NICE appraisals

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  • Li-cheng Chang

Abstract

Appraisals by the UK's National Institute for Health and Clinical Excellence (NICE) examine clinical and cost-effectiveness to determine whether medical interventions should be publicly funded by the National Health Service (NHS). NICE's evaluations are attracting increasing debate about the tension between efficiency and equity. This article, using the case of renal cell cancer, argues that NICE is not only concerned with maximized aggregate welfare, but also with its social obligations to protect the less advantaged members of society. The English experience is likely to have international implications in terms of evaluating the benefits of new medical treatments.

Suggested Citation

  • Li-cheng Chang, 2012. "Cost-effectiveness and fairness in health care: NICE appraisals," Public Money & Management, Taylor & Francis Journals, vol. 32(5), pages 343-348, September.
    • Handle: RePEc:taf:pubmmg:v:32:y:2012:i:5:p:343-348
    DOI: 10.1080/09540962.2012.703418
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    References listed on IDEAS

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    1. Brazier, John & Ratcliffe, Julie & Salomon, Joshua & Tsuchiya, Aki, 2016. "Measuring and Valuing Health Benefits for Economic Evaluation," OUP Catalogue, Oxford University Press, edition 2, number 9780198725923.
    2. Alan Williams, 2004. "What Could be Nicer than NICE?," Monograph 000489, Office of Health Economics.
    3. Daniels, Norman & Sabin, James E., 2002. "Setting Limits Fairly: Can we learn to share medical resources?," OUP Catalogue, Oxford University Press, number 9780195149364.
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