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A New Outcome Measure For Cost-Utility Analyses Of Screening Programs

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Author Info

  • Carmen Herrero Blanco

    (Instituto Valenciano de Investigaciones Económicas)

  • Juan D. Moreno Ternero

    (Yale University)

Abstract

In this paper we provide a new outcome measure for the cost-utility analyses of alternative screening programs of a particular disease. We show that for non-invasive screening programs satisfying plausible assumptions, QALYs can be replaced by a simpler outcome: the sensitivity of the program. In other words, the cost-utility analysis can be made without computing the utility each program offers. Consequently, results would be immune to two of the most controversial issues in the cost-utility analysis approach: the elicitation method to obtain quality weights of health profiles, and the discount rate for future health benefits. The assumptions are particularly suitable in the case of selecting between the universal and the selective implementation of a non-invasive screening program. Therefore, we apply our result to provide an additional viewpoint in the current debate about the implementation of a universal or selective newborn screening program to detect congenital hearing impairment.

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File URL: http://www.ivie.es/downloads/docs/wpasad/wpasad-2003-24.pdf
File Function: Fisrt version / Primera version, 2003
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Bibliographic Info

Paper provided by Instituto Valenciano de Investigaciones Económicas, S.A. (Ivie) in its series Working Papers. Serie AD with number 2003-24.

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Length: 22 pages
Date of creation: Jul 2003
Date of revision:
Publication status: Published by Ivie
Handle: RePEc:ivi:wpasad:2003-24

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Related research

Keywords: Cost-utility analysis; cost-sensitivity ratios; screening programs;

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References

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  1. Birch, Stephen & Gafni, Amiram, 1992. "Cost effectiveness/utility analyses : Do current decision rules lead us to where we want to be?," Journal of Health Economics, Elsevier, vol. 11(3), pages 279-296, October.
  2. Johannesson, Magnus & Weinstein, Milton C., 1993. "On the decision rules of cost-effectiveness analysis," Journal of Health Economics, Elsevier, vol. 12(4), pages 459-467, December.
  3. Carmen Herrero & Juan D. Moreno-Ternero, 2005. "Hospital costs and social cost: A case study of newborn hearing screening," Investigaciones Economicas, Fundación SEPI, vol. 29(1), pages 203-216, January.
  4. Bleichrodt, Han & Johannesson, Magnus, 1997. "Standard gamble, time trade-off and rating scale: Experimental results on the ranking properties of QALYs," Journal of Health Economics, Elsevier, vol. 16(2), pages 155-175, April.
  5. Bleichrodt, Han & Gafni, Amiram, 1996. "Time preference, the discounted utility model and health," Journal of Health Economics, Elsevier, vol. 15(1), pages 49-66, February.
  6. Marjon M. Van Der Pol & John A. Cairns, 2000. "Negative and zero time preference for health," Health Economics, John Wiley & Sons, Ltd., vol. 9(2), pages 171-175.
  7. Carmen Herrero Blanco & Juan D. Moreno Ternero, 2002. "Economic Evaluation Of Newborn Hearing Screening Procedures," Working Papers. Serie AD 2002-06, Instituto Valenciano de Investigaciones Económicas, S.A. (Ivie).
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Cited by:
  1. HERRERO, Carmen & MORENO-TERNERO, Juan D., 2007. "Opportunity analysis of newborn screening programs," CORE Discussion Papers 2007029, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
  2. Carmen Herrero & Juan D. Moreno-Ternero, 2005. "Hospital costs and social cost: A case study of newborn hearing screening," Investigaciones Economicas, Fundación SEPI, vol. 29(1), pages 203-216, January.

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