Why Perspective Matters In Health Outcomes Research Analyses

Main Article Content

John M. Polimeni
Kittaya Vichansavakul
Raluca I. Iorgulescu
Ray Chandrasekara


Health Outcomes, Cost-Benefit Analysis, Cost-Effectiveness


Health outcomes research typically uses cost-effectiveness or cost-utility analysis. These approaches take a narrow perspective of the individual effects, typically from the payer or the provider point-of-view. However, using these narrow perspectives misses macro-level, or societal level, benefits and costs that could significantly alter whether an intervention is considered beneficial or cost-effective. The societal perspective accounts for all the effects impacting patients, their families, the public, and government expenditures for a healthcare intervention. Such a perspective is vital for healthcare interventions for illnesses where morbidity and long absences from work are probable. A cost-benefit analysis would account for all the societal benefits and costs, allowing policy-makers to observe an outcomes analysis more closely reflective of the real impacts. This paper clearly presents why a societal perspective using cost-benefit analysis should be the preferred method of health outcomes research. An example of breast cancer interventions is used to illustrate this point.


Download data is not yet available.
Abstract 44 | PDF Downloads 75

Most read articles by the same author(s)