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Cost-Effectiveness in Health and Medicine$
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Peter J. Neumann, Theodore G. Ganiats, Louise B. Russell, Gillian D. Sanders, and Joanna E. Siegel

Print publication date: 2016

Print ISBN-13: 9780190492939

Published to Oxford Scholarship Online: November 2016

DOI: 10.1093/acprof:oso/9780190492939.001.0001

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Recommendations on Perspectives for the Reference Case

Recommendations on Perspectives for the Reference Case

(p.67) 3 Recommendations on Perspectives for the Reference Case
Cost-Effectiveness in Health and Medicine

Peter J. Neumann

Gillian D. Sanders

Anirban Basu

Dan W. Brock

David Feeny

Murray Krahn

Karen M. Kuntz

David O. Meltzer

Douglas K. Owens

Lisa A. Prosser

Joshua A. Salomon

Mark J. Sculpher

Thomas A. Trikalinos

Louise B. Russell

Joanna E. Siegel

Theodore G. Ganiats

Oxford University Press

The original Panel recommended a societal Reference Case as a point of comparison across studies. The Second Panel reconsidered at length the perspectives that Reference Case analyses should use. Many, if not most published cost-effectiveness analyses (CEAs) have not used a true societal perspective. Further, decision-making bodies that have incorporated CEA into health technology assessment to inform coverage and reimbursement decisions have not adopted a societal perspective. Given this backdrop and various options, the Second Panel recommends that all studies report two Reference Case analyses: one based on a healthcare sector perspective and one based on a societal perspective. We recommend that analysts present all items in an analysis as disaggregated consequences in an Impact Inventory to ensure that all consequences, including those outside the formal healthcare sector, are considered regularly and comprehensively, as they have generally not been to date.

Keywords:   Reference case, healthcare sector perspective, societal perspective, Impact Inventory, cost-effectiveness analysis, decision maker

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