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Incremental cost-effectiveness ratios (ICERs): The...
Journal article

Incremental cost-effectiveness ratios (ICERs): The silence of the lambda

Abstract

Despite the central role of the threshold incremental cost-effectiveness ratio (ICER), or lambda (lambda), in the methods and application of cost-effective analysis (CEA), little attention has been given to the determining the value of lambda. In this paper we consider 'what explains the silence of the lambda'? The concept of the threshold ICER is critically appraised. We show that there is 'silence of the lambda' with respect to justification …

Authors

Gafni A; Birch S

Journal

Social Science & Medicine, Vol. 62, No. 9, pp. 2091–2100

Publisher

Elsevier

Publication Date

May 2006

DOI

10.1016/j.socscimed.2005.10.023

ISSN

0277-9536