[Value of cost-utility analysis; evidence-based policy making].
In this issue of the Journal a review on the present state of science regarding cost-utility analysis is presented. The article can be regarded as a laudable enumeration of the points of academic discussion still associated with cost-utility analyses. Indeed, various schools of researchers with different positions on specific points contribute to these discussions. However, it would be incorrect to conclude that cost-utility analyses are therefore not useful. If performed according to current insights and clearly presented, they are transparent and can be assessed and reproduced. Thus they can contribute to a scientific underpinning of policy decisions. Notably, the alternative of 'opinion'-based policy making should be kept in mind when assessing cost-utility analyses.
Buskens
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Universitair Medisch Centrum Utrecht, Julius Centrum voor Gezondheidswetenschappen en Eerstelijnsgeneeskunde, Postbus 85.500, 3508 GA Utrecht.
D003362:Cost-Benefit Analysis; D019317:Evidence-Based Medicine; D006801:Humans; D009426:Netherlands; D017063:Outcome Assessment, Health Care / Q000379:methods*; D011050:Policy Making