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How do Economic Evaluations Inform Health Policy Decisions for Treatment and Prevention in Canada and the United States?

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  • Don Husereau
  • Anthony Culyer
  • Peter Neumann
  • Philip Jacobs

Abstract

Canadian and US health systems have often been characterized as having vastly different approaches to the financing and delivery of healthcare, with Canada portrayed as more reliant on rationing based on costs. In this article, we examine the similarities and differences between the two countries, the evolution and current role of health economic evaluation, and the roles played by health economists. We suggest both countries have similarly used economic evaluation to a limited extent for drug and immunization decisions, with variability in use more of a reflection of the incompleteness of both systems and their inherent institutional barriers rather than political ideology. Copyright Springer International Publishing Switzerland 2015

Suggested Citation

  • Don Husereau & Anthony Culyer & Peter Neumann & Philip Jacobs, 2015. "How do Economic Evaluations Inform Health Policy Decisions for Treatment and Prevention in Canada and the United States?," Applied Health Economics and Health Policy, Springer, vol. 13(3), pages 273-279, June.
  • Handle: RePEc:spr:aphecp:v:13:y:2015:i:3:p:273-279
    DOI: 10.1007/s40258-014-0133-6
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    References listed on IDEAS

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    1. C. David Naylor, 1992. "The Canadian health care system: A model for America to emulate?," Health Economics, John Wiley & Sons, Ltd., vol. 1(1), pages 19-37, April.
    2. Peter J. Neumann, 2009. "American Exceptionalism and American Health Care: Implications for the US Debate on Cost-Effectiveness Analysis," Briefing 000232, Office of Health Economics.
    3. Evans, R.G. & Barer, M. & Morgan, S., 2000. "Health Economists Meet the Fourth Tempter: Drog Dependency and Scientific Discourse," Centre for Health Services and Policy Research 2000:16r, University of British Columbia - Centre for Health Services and Policy Research..
    4. Culyer, A J, 1989. "The Normative Economics of Health Care Finance and Provision," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 5(1), pages 34-58, Spring.
    5. Guyatt, Gordon & Drummond, Michael & Feeny, David & Tugwell, Peter & Stoddart, Greg & Haynes, R. Brian & Bennett, Kathryn & Labelle, Roberta, 1986. "Guidelines for the clinical and economic evaluation of health care technologies," Social Science & Medicine, Elsevier, vol. 22(4), pages 393-408, January.
    6. Karen Gerard & Gavin Mooney, 1993. "Qaly league tables: Handle with care," Health Economics, John Wiley & Sons, Ltd., vol. 2(1), pages 59-64, April.
    7. Steve Morgan & Morris Barer & Robert Evans, 2000. "Health economists meet the fourth tempter: drug dependency and scientific discourse," Health Economics, John Wiley & Sons, Ltd., vol. 9(8), pages 659-667, December.
    8. Williams, Iestyn & Bryan, Stirling, 2007. "Understanding the limited impact of economic evaluation in health care resource allocation: A conceptual framework," Health Policy, Elsevier, vol. 80(1), pages 135-143, January.
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    Cited by:

    1. McDaid, David & Park, A-La & Wahlbeck, Kristian, 2019. "The economic case for the prevention of mental illness," LSE Research Online Documents on Economics 100054, London School of Economics and Political Science, LSE Library.

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