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Sometimes sensitive, seldom specific: A review of the economics of screening

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  • John Cairns
  • Phil Shackley

Abstract

As the policy relevance of screening has increased, the application of the techniques of economic evaluation to screening has become widespread. This paper critically reviews the literature, and in so doing, highlights several ways in which future evaluations might be improved. These include: the adoption of a broader perspective regarding the questions to be addressed and the relevant margins; a reconsideration of the nature of the benefits and how they might be valued; and a greater emphasis being placed upon the role of individual behaviour and its potential impact on the outcome of economic evaluations.

Suggested Citation

  • John Cairns & Phil Shackley, 1993. "Sometimes sensitive, seldom specific: A review of the economics of screening," Health Economics, John Wiley & Sons, Ltd., vol. 2(1), pages 43-53, April.
    • Handle: RePEc:wly:hlthec:v:2:y:1993:i:1:p:43-53
    DOI: 10.1002/hec.4730020106
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    Cited by:

    1. Karen Gerard & Marian Shanahan & Jordan Louviere, 2003. "Using stated preference discrete choice modelling to inform health care decision-making: A pilot study of breast screening participation," Applied Economics, Taylor & Francis Journals, vol. 35(9), pages 1073-1085.
    2. 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.
    3. Stavros Petrou, 2001. "Methodological limitations of economic evaluations of antenatal screening," Health Economics, John Wiley & Sons, Ltd., vol. 10(8), pages 775-778, December.
    4. Dorte Gyrd‐Hansen & Jes Søgaard, 2001. "Analysing public preferences for cancer screening programmes," Health Economics, John Wiley & Sons, Ltd., vol. 10(7), pages 617-634, October.
    5. Araña, Jorge E. & León, Carmelo J. & Quevedo, Jose L., 2006. "The effect of medical experience on the economic evaluation of health policies. A discrete choice experiment," Social Science & Medicine, Elsevier, vol. 63(2), pages 512-524, July.

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