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Ethics in Biology, Engineering and Medicine: An International Journal
SJR: 0.123

ISSN Druckformat: 2151-805X
ISSN Online: 2151-8068

Ethics in Biology, Engineering and Medicine: An International Journal

DOI: 10.1615/EthicsBiologyEngMed.v1.i3.30
pages 187-197

Practice and Protocol Analyses of Cost- Effectiveness: An Inconvenient Distinction

Abraham Schwab
Philosophy Department, Indiana University Purdue University

ABSTRAKT

Using four examples of cost-effectiveness analyses, I argue that discussions of and research on cost-effectiveness in medical practice should clearly delineate between protocol and practice cost-effectiveness analyses. Failure to do so risks confusing conclusions that warrant substantial confidence and limited applicability with conclusions with broader applicability but more limited confidence. Further, these different types of analyses incorporate different sets of values. I argue that some favor should be shown for those analyses that include a wider array of values.


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