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Med Care. 1998 May;36(5 Suppl):MS10-147.

Are we ready to use cost-effectiveness analysis in health care decision-making? A health services research challenge for clinicians, patients, health care systems, and public policy.

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  • 1Agency for Health Care Policy and Research, US Department of Health and Human Services, Rockville, Maryland 20852, USA.


The dominance of managed care as an organizing principle for health care delivery suggests that cost-effectiveness analysis (CEA) may be applied increasingly to decision-making at all levels. Health services researchers now need to address questions of how to further the underlying methods of CEA, how to make it a more practical tool for market-based as well as public policy decisions, and how to enhance CEA's ability to lead to responsible decisions that result in more effective and efficient care.

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