Abstract:
:Brouwer and colleagues [1] argue that the reasons for specifying an equal discount rate for health outcomes and costs in the recent guidance on methods of technology appraisal issued by the National Institute for Clinical Excellence (NICE) [2] is both opaque and wrong. They argue that a lower rate should apply to health outcomes like QALYs. It is also claimed that the guidance on discounting represents a step backwards, that is both inconsistent with current theoretical insights and will prejudice the outcome of cost-effectiveness studies of preventive interventions.The reasoning behind the use of equal discount rates for costs and health outcomes is indeed not well developed in the published guidance. Nor does it reflect the debate that underpinned the guidance. We therefore welcome the opportunity to explain more completely the rationale in the minds of the principal authors of the current guidance.
journal_name
Health Econjournal_title
Health economicsauthors
Claxton K,Sculpher M,Culyer A,McCabe C,Briggs A,Akehurst R,Buxton M,Brazier Jdoi
10.1002/hec.1081keywords:
subject
Has Abstractpub_date
2006-01-01 00:00:00pages
1-4issue
1eissn
1057-9230issn
1099-1050journal_volume
15pub_type
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