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Economic Evaluation of Diagnostic Technology: Methodological Challenges and Viable Solutions

  • Franco Sassi (a1), Martin McKee (a2) and Jennifer A. Roberts (a2)

Abstract

The principles of economic evaluation are increasingly accepted by clinicians and policy makers as evidence from a significant number of studies becomes available to support their decisions. However, methods of assessment still need to be improved. This paper reports a comprehensive review of methodological challenges in the economic evaluation of diagnostic technology, where such challenges are more evident. This review formed the basis for a prioritized research agenda, with four main areas: modeling techniques for dealing with complexity; measures of the opportunity cost of shared resources; techniques for eliciting decision makers' utility functions for diagnostic tests; and ways of assessing the robustness of decisions. A number of methodoligical solutions are proposed, aimed at capturing elements and relationships that are usually neglected and fully recognizing the presence of an inductive cognitive component in decision-making processes.

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Economic Evaluation of Diagnostic Technology: Methodological Challenges and Viable Solutions

  • Franco Sassi (a1), Martin McKee (a2) and Jennifer A. Roberts (a2)

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