Karl Claxton (Member of the NICE Task Group on Economics, UK) Mark Sculpher Anthony Culyer (Member of the NICE Methods Working Party, UK) Chris McCabe (Member of the NICE Methods Working Party, UK) Andrew Briggs (Member of the NICE Task Group on Economics, UK) Ron Akehurst (Member of the NICE Methods Working Party, UK) Martin Buxton (Member of the NICE Task Group on Economics, UK) John Brazier (Member of the NICE Task Group on Economics, UK)
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Brouwer and colleagues [1] argue that the reasons for specifying an equal discount rate for health outcomes and costs in the recent guidance on methods of technology appraisal issued by the National Institute for Clinical Excellence (NICE) [2] is both opaque and wrong. They argue that a lower rate should apply to health outcomes like QALYs. It is also claimed that the guidance on discounting represents a step backwards, that is both inconsistent with current theoretical insights and will prejudice the outcome of cost-effectiveness studies of preventive interventions.
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Article provided by John Wiley & Sons, Ltd. in its journal Health Economics.
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