Russell K. Portenoy and Eduardo Bruera
- Published in print:
- 2003
- Published Online:
- November 2011
- ISBN:
- 9780195130652
- eISBN:
- 9780199999842
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195130652.003.0014
- Subject:
- Palliative Care, Palliative Medicine Research, Patient Care and End-of-Life Decision Making
Utility can be used to rank treatments based on their effect and to calculate cost-utility ratios. Change in utility is difficult to show for palliative care interventions because the effects of the ...
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Utility can be used to rank treatments based on their effect and to calculate cost-utility ratios. Change in utility is difficult to show for palliative care interventions because the effects of the interventions are small, the effects of the disease are large, and current global instruments do not capture the benefit. This chapter suggests that the most practical use is to quantify the benefits and toxicities of various interventions and to illustrate the future health states that the patient is likely to experience. This may be useful in patient decision making but requires an informed, knowledge-seeking patient, who is willing to make choices informed by data. At present, utility and cost-utility are not useful in resource allocation, except as an implicit way to illustrate benefit for comparative cost and clinical decision making.Less
Utility can be used to rank treatments based on their effect and to calculate cost-utility ratios. Change in utility is difficult to show for palliative care interventions because the effects of the interventions are small, the effects of the disease are large, and current global instruments do not capture the benefit. This chapter suggests that the most practical use is to quantify the benefits and toxicities of various interventions and to illustrate the future health states that the patient is likely to experience. This may be useful in patient decision making but requires an informed, knowledge-seeking patient, who is willing to make choices informed by data. At present, utility and cost-utility are not useful in resource allocation, except as an implicit way to illustrate benefit for comparative cost and clinical decision making.
George C. Davis and Elena L. Serrano
- Published in print:
- 2016
- Published Online:
- November 2017
- ISBN:
- 9780199379118
- eISBN:
- 9780190876609
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/oso/9780199379118.003.0016
- Subject:
- Public Health and Epidemiology, Public Health
Chapter 16 gives an overview of cost-effectiveness and cost-benefit analysis. Every year millions of dollars are spent on food and nutrition intervention programs that are designed to improve health. ...
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Chapter 16 gives an overview of cost-effectiveness and cost-benefit analysis. Every year millions of dollars are spent on food and nutrition intervention programs that are designed to improve health. Given money can always be spent in many different ways leads to a natural question: How effective was the program, relative to how much it cost? There are two standard approaches to answering this question: a cost effectiveness analysis and a cost benefit analysis. The chapter covers the main questions that must be answered in doing either a cost effectiveness or cost benefit analysis. The main formulas in each approach are presented. The pros and cons of each approach are discussed. A hypothetical nutrition intervention program is carried throughout to provide context for the discussion.Less
Chapter 16 gives an overview of cost-effectiveness and cost-benefit analysis. Every year millions of dollars are spent on food and nutrition intervention programs that are designed to improve health. Given money can always be spent in many different ways leads to a natural question: How effective was the program, relative to how much it cost? There are two standard approaches to answering this question: a cost effectiveness analysis and a cost benefit analysis. The chapter covers the main questions that must be answered in doing either a cost effectiveness or cost benefit analysis. The main formulas in each approach are presented. The pros and cons of each approach are discussed. A hypothetical nutrition intervention program is carried throughout to provide context for the discussion.
