Cost-per-QALY in the US and Britain: Damned if You Do and Damned if You Don’t

Weinstein, M.

Monograph
December 2015

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During the OHE Annual Lecture of 2011, Professor Weinstein examined the key differences between attitudes in the UK and the US around the appropriate use of cost-effectiveness analysis (CEA) and quality-adjusted life years (QALYs) within health care systems. Professor Weinstein explored US arguments against CEA, such as the relationship between health care expenditures and health outcomes across hospitals and geographic areas. He also discussed particularities of the UK system, highlighting that the guidelines for cost-per-QALY studies are very strict.