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Updated: Dec 4, 2025

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Published on: September 10, 2018
Correction to: Perspective and Costing in Cost‑Effectiveness Analysis, 1974-2018
David D Kim1,2, Madison C Silver3, Natalia Kunst4,5,6
1Center for the Evaluation of Value and Risk in Health, Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, 800 Washington St, Box 063, Boston, MA, 02111, USA. dkim3@tuftsmedicalcenter.org.
This study examines perspective and costing within cost-effectiveness analysis (CEA). It highlights how different viewpoints influence economic evaluations of healthcare interventions.
Area of Science:
- Health Economics
- Decision Science
Context:
- Cost-effectiveness analysis (CEA) is crucial for healthcare resource allocation.
- Defining the appropriate perspective is fundamental to accurate CEA.
- Costing methods significantly impact the interpretation of CEA results.
Purpose:
- To elucidate the critical role of perspective in CEA.
- To analyze various costing methodologies and their implications.
- To provide guidance on selecting appropriate perspectives and costing approaches.
Summary:
- The article discusses how the choice of perspective (e.g., healthcare system, societal) affects the identified costs and outcomes in CEA.
- It explores different costing techniques, including direct, indirect, and intangible costs.
- The interplay between perspective and costing is shown to influence the overall cost-effectiveness conclusions.
Impact:
- Improved understanding of CEA methodology for researchers and policymakers.
- Enhanced transparency and rigor in economic evaluations.
- More reliable evidence for healthcare decision-making and resource allocation.
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