To be or not to be: Future lives in economic evaluation

Autor:	Evelyn Verbeke, Erik Schokkaert, Jeroen Luyten
Rok vydání:	2021
Předmět:	Technology Assessment Biomedical Public economics Inclusion (disability rights) business.industry Cost-Benefit Analysis Health Policy Counterintuitive Psychological intervention Health technology Affect (psychology) Health care Economic evaluation Humans business Psychology Delivery of Health Care
Zdroj:	Health Economics. 31:258-265
ISSN:	1099-1050 1057-9230
DOI:	10.1002/hec.4454
Popis:	Sometimes healthcare will affect the health of people living in the future, or their chance of coming into existence. Should such outcomes be valued in health-economic evaluation? Guidelines implicitly recommend their inclusion but this rule has counterintuitive implications and is not consistently applied in practice. We suggest making a distinction between "necessary" and "potential" future lives in Health Technology Assessment. Necessary lives will exist independent of our healthcare choices and should be included. Potential lives are choice-dependent and should be excluded. This rule offers intuitive solutions within the HTA framework, and it changes the cost-effectiveness of several interventions where necessary future lives are affected.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::bfc0b4eeecea129063f409d981038666 https://doi.org/10.1002/hec.4454 Zobrazit plný text záznamu Plný text