English, Article edition: A Stated Preference Binary Choice Experiment to Explore NICE Decision Making Paul Tappenden; John Brazier; Julie Ratcliffe; ...

User activity

Share to:
 
Bookmark: http://trove.nla.gov.au/version/119654
Physical Description
  • article
Language
  • English

Edition details

Title
  • A Stated Preference Binary Choice Experiment to Explore NICE Decision Making
Author
  • Paul Tappenden
  • John Brazier
  • Julie Ratcliffe
  • James Chilcott
Physical Description
  • article
Notes
  • Objective: To explore whether the National Institute for Health and Clinical Excellence (NICE) takes account of concerns other than just incremental cost effectiveness in commissioning healthcare services. Method: A stated preference binary choice experiment was used to explore the preferences of members of NICE's Appraisal Committees for incremental cost effectiveness, the degree of uncertainty surrounding incremental costs and health outcomes, the age of beneficiaries, baseline health-related quality of life (HR-QOL) and the availability of alternative therapies when considering whether to recommend health technologies. Results: A logit modelling analysis of Committee members' stated preferences suggested that increases in the incremental cost-effectiveness ratio and economic uncertainty, and the availability of other therapies was associated with statistically significant reductions in the odds of a positive recommendation (p < 0.01). The transition from a very low to a comparatively high level of baseline HR-QOL was also associated with a statistically significant reduction in the odds of a positive recommendation (p =​ 0.003). The age of beneficiaries did not significantly affect decisions concerning whether to recommend technologies. Conclusion: The results of the choice experiment support the notion of a probabilistic adoption/​rejection approach rather than the operation of a single cost-effectiveness threshold.
  • Cost-effectiveness, Decision-making, Reimbursement
  • RePEc:wkh:phecon:v:25:y:2007:i:8:p:685-693
Language
  • English
Contributed by
OAIster

Get this edition

  • Set up My libraries

    How do I set up "My libraries"?

    In order to set up a list of libraries that you have access to, you must first login or sign up. Then set up a personal list of libraries from your profile page by clicking on your user name at the top right of any screen.

  • All (1)
  • Unknown (1)
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.

User activity


e.g. test cricket, Perth (WA), "Parkes, Henry"

Separate different tags with a comma. To include a comma in your tag, surround the tag with double quotes.

Be the first to add a tag for this edition

Be the first to add this to a list

Comments and reviews

What are comments? Add a comment

No user comments or reviews for this version

Add a comment