Cost, context, and decisions in health economics and health technology assessment

International Journal of Technology Assessment in Health Care

18 October 2018 - This study is an attempt to demystify and clarify the idea of cost in health economics and health technology assessment.

Its method draws on standard concepts in economics. Cost is a more elusive concept than is commonly thought and can be particularly elusive in multidisciplinary territory like health technology assessment.

The article explains that cost is more completely defined as opportunity cost, why cost is necessarily associated with a decision, and that it will always vary according to the context of that decision: whether choice is about inputs or outputs, what the alternatives are, the timing of the consequences of the decision, the nature of the commitment to which a decision maker is committed, who the decision maker is, and the constraints and discretion limiting or liberating the decision maker.

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Michael Wonder

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Michael Wonder