IDEAS home Printed from https://ideas.repec.org/a/sae/medema/v16y1996i1p45-50.html
   My bibliography  Save this article

Justifying Prenatal Screening and Genetic Amniocentesis Programs by Cost-Effectiveness Analyses

Author

Listed:
  • Theodore G. Ganiats

Abstract

A strength of cost-effectiveness analysis is the presentation of all relevant clinical options, variables, and outcomes and the placement of values on the outcomes Despite success in many fields of health policy, cost-effectiveness analysts have failed to provide a complete evaluation of prenatal screening and genetic amniocentesis programs Specifically, all pub lished cost-effectiveness analyses of these programs at best only partially acknowledge the potential life of the aborted fetus. These incomplete evaluations not only violate some basic principles of cost-effectiveness analysis, they also produce conclusions that may be misleading. Ultimately, society must answer two basic questions regarding the use of cost- effectiveness to justify prenatal screening programs: Is cost-effecfiveness analysis an ap propriate tool for the evaluation of these programs? If so, then what are the outcomes of interest? This paper first shows that the current literature does not present a complete evaluation of these programs. The ramifications of this incomplete evaluation are presented from several perspectives. Finally, given the problems associated with the use of cost- effectiveness analysis, the article suggests that cost-effectiveness analysis is not yet an appropriate tool to justify prenatal screening or genetic amniocentesis programs Key words: amniocentesis; abortion; cost-effectiveness analysis; health policy. (Med Decis Making 1996;16:45-50)

Suggested Citation

  • Theodore G. Ganiats, 1996. "Justifying Prenatal Screening and Genetic Amniocentesis Programs by Cost-Effectiveness Analyses," Medical Decision Making, , vol. 16(1), pages 45-50, February.
    • Handle: RePEc:sae:medema:v:16:y:1996:i:1:p:45-50
    DOI: 10.1177/0272989X9601600112
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0272989X9601600112
    Download Restriction: no
    File URL: https://libkey.io/10.1177/0272989X9601600112?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Gill, Mike & Murday, Victoria & Slack, Joan, 1987. "An economic appraisal of screening for Down's syndrome in pregnancy using maternal age and serum alpha fetoprotein concentration," Social Science & Medicine, Elsevier, vol. 24(9), pages 725-731, January.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Kittiphong Thiboonboon & Wantanee Kulpeng & Yot Teerawattananon, 2018. "An economic analysis of chromosome testing in couples with children who have structural chromosome abnormalities," PLOS ONE, Public Library of Science, vol. 13(6), pages 1-14, June.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Hall, Jane & Fiebig, Denzil G. & King, Madeleine T. & Hossain, Ishrat & Louviere, Jordan J., 2006. "What influences participation in genetic carrier testing?: Results from a discrete choice experiment," Journal of Health Economics, Elsevier, vol. 25(3), pages 520-537, May.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:medema:v:16:y:1996:i:1:p:45-50. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.