JAMA. 2005 Nov 23;294(20):2618-22.

Quality, innovation, and value for money: NICE and the British National Health Service.

Source

National Institute for Clinical Excellence, London, England. spearson99@yahoo.com

Abstract

The National Institute for Health and Clinical Excellence (NICE) was established as a part of the British National Health Service in 1999 to set standards for the adoption of new health care technologies and the management of specific conditions. In doing so it was required explicitly to take into account both clinical effectiveness and cost-effectiveness. This article describes how NICE has responded to the challenge and considers whether its experience of balancing quality, innovation, and value for money holds policy lessons for the United States.

Comment in

Drug prices and value for money: the Australian Pharmaceutical Benefits Scheme. [JAMA. 2005]
Drug prices and value for money: the Australian Pharmaceutical Benefits Scheme.Henry DA, Hill SR, Harris A. JAMA. 2005 Nov 23; 294(20):2630-2.
Cost-effectiveness analysis in the United States. [JAMA. 2006]
Cost-effectiveness analysis in the United States.Wynia M. JAMA. 2006 Jun 21; 295(23):2722; author reply 2722-3.

PMID:: 16304076; [PubMed - indexed for MEDLINE]

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