Cost-effectiveness analysis is currently in great demand. Evaluating the cost-effectiveness of endoscopy in comparison with surgical and radiological alternatives for diagnosis and therapy would appear particularly important, since the costs they incur may be substantial. However, several technical and practical issues may limit the perceived value of cost-effectiveness studies and the applicability of their results to daily practice. Despite this, they are likely to be used to make decisions regarding health-care resource allocation. A better understanding of their limitations by all parties involved and active participation by physicians (as opposed to health-care administrators) in their conception and execution should help optimize our ability to provide excellent patient care at a reasonable price.
References
-
1
Kahn K L, Kosecoff J, Chassin M R, et al.
The use and misuse of upper gastrointestinal endoscopy.
Ann Intern Med.
1988;
109
664-670
-
2
Doubilet P, Weinstein M C, McNeil B J.
Use and misuse of the term “cost effective” in medicine.
N Engl J Med.
1986;
314
253-256
-
3
Sahai A V, Pineault R.
An assessment of the use of costs and quality of life as outcomes in endoscopic research.
Gastrointest Endosc.
1997;
46
113-118
-
4
Finkler S A.
The distinction between cost and charges.
Ann Intern Med.
1982;
96
102-109
A. V. Sahai, M.D., M.Sc. (Epid), F.R.C.P.C.
GI Dept. CHUM-St. Luc
1058 St Denis Montreal
Quebec H2X SJ4 Canada
Fax: Fax:+ 1-514-281-6135
eMail: E-mail:anand.sahai@sympatico.ca
