Robert G. Evans, PhD
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Evans R.; Principles of Economic Analysis of Health Care Technology. Ann Intern Med. 1996;124:536. doi: 10.7326/0003-4819-124-5-199603010-00023
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Published: Ann Intern Med. 1996;124(5):536.
Sacristan and colleagues suggest that we ask not why some pharmaceutical companies supported the Task Force but why others did not. In fact, I raised both questions in my editorial. One might expect reimbursement agencies to be enthusiastic about the development of guidelines that are effective for the purposes claimed—distinguishing cost-effective drugs from the others. But they held back: Emptores cavebant.
Sacristan and coworkers would have us infer that this indicates bias on the part of purchasers. My inference was rather that this should raise suspicions about the guideline process itself. As emphasized in the editorial, the “lack of consensus about methods” in economic evaluation is as old as the activity itself. Disagreements over “classic” questions are not rooted in faulty analysis or incomplete data. They arise from differing conceptions of the question itself, and of its context, which is why so little convergence has occurred over time.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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