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The economic perspective.

J Brown1, M Buxton

  • 1Health Economics Research Group, Brunel University, Middlesex, UK.

British Medical Bulletin
|June 15, 1999
PubMed
Summary
This summary is machine-generated.

This study explores the economic evaluation of screening programs, detailing methods for measuring costs and outcomes. It addresses challenges in valuing non-positive results and specific issues in antenatal screening.

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Area of Science:

  • Health Economics
  • Public Health Policy
  • Screening Program Evaluation

Background:

  • Economic evaluation is crucial for understanding the value of screening programs.
  • Assessing the costs and benefits of screening requires specific methodologies.

Purpose of the Study:

  • To present the rationale for an economic perspective on screening.
  • To highlight the relevance and principles of economic evaluation in screening.
  • To discuss challenges in measuring and valuing screening outcomes, especially in antenatal screening.

Main Methods:

  • Describing principles of economic evaluation: measuring and valuing costs and outcomes.
  • Detailing different types of economic evaluation and their data sources.
  • Discussing problematic issues like time preferences, discounting, and valuing non-true positive outcomes.

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Main Results:

  • Economic evaluation principles involve quantifying and assigning value to screening-related costs and health outcomes.
  • Various economic evaluation methods exist, each with specific data requirements.
  • Challenges include accurately valuing outcomes beyond true positives and specific considerations for antenatal screening.

Conclusions:

  • Economic evaluation provides a framework for assessing the efficiency of screening programs.
  • Accurate measurement and valuation of costs and outcomes, including intangible ones, are key.
  • Antenatal screening presents unique economic evaluation challenges, particularly concerning termination of pregnancy and fetal utility.