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Related Concept Videos

Social Exchange Theory02:06

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We have discussed why we form relationships, what attracts us to others, and different types of love. But what determines whether we are satisfied with and stay in a relationship? One theory that provides an explanation is social exchange theory. According to social exchange theory, we act as naïve economists in keeping a tally of the ratio of costs and benefits of forming and maintaining a relationship with others (Rusbult & Van Lange, 2003).
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Econometric Views, often stylized as EViews, is a package that merges statistical analysis with econometric studies. It is designed to provide tools for time series analysis, forecasting, and econometric model simulation. The software originated from MicroTSP software and has evolved significantly since its inception in 1981. The history of EViews is marked by a continuous effort to enhance its computational speed and user interface. It was initially developed for large computing systems but...
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Combining Behavioral Endocrinology and Experimental Economics: Testosterone and Social Decision Making
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Economic evaluation in the US: what is the missing link?

Peter J Neumann1, Sean D Sullivan

  • 1Center for the Evaluation of Value and Risk in Health, Institute for Clinical Research and Health Care Policy, Tufts-New England Medical Center, Boston, Massachusetts, USA.

Pharmacoeconomics
|October 28, 2006
PubMed
Summary

Economic evaluation of health interventions in the US is unlikely to adopt explicit cost-effectiveness models due to decentralized healthcare. Value considerations are present but often indirect, influencing policy incrementally.

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Area of Science:

  • Health Economics
  • Health Policy Analysis
  • Healthcare Management

Background:

  • The American healthcare system is decentralized in organization, financing, and delivery.
  • Political systems, traditions, and cultural attitudes in the US differ from European, Canadian, or Australian models.
  • Despite differences, value measurement is a key priority for US policymakers.

Purpose of the Study:

  • To analyze the evolving American healthcare landscape and its implications for economic evaluation of health interventions.
  • To explore why explicit cost-effectiveness analysis is unlikely to be adopted in the US.
  • To identify how value considerations are currently integrated into US healthcare policy.

Main Methods:

  • Qualitative analysis of the US healthcare system's structure and policy environment.
  • Comparative analysis with international models of economic evaluation.
  • Review of current policy debates and decision-making processes regarding health interventions.

Main Results:

  • Explicit use of cost-effectiveness analysis is improbable in the US due to its decentralized nature and political context.
  • Value considerations are prevalent but often manifest indirectly through debates on clinical evidence and cost-sharing.
  • Payers are increasingly using economic evaluation, albeit indirectly, in coverage, reimbursement, and guideline development.

Conclusions:

  • A significant policy shift towards explicit cost-effectiveness in the US is not anticipated soon.
  • Incremental changes through experimentation and political risk-taking are more likely.
  • Indirect utilization of cost-effectiveness information is the most probable future trend in US healthcare policy.