AXIOMATIC FOUNDATIONS FOR COST-EFFECTIVENESS ANALYSIS
Article first published online: 26 FEB 2013
Copyright © 2013 John Wiley & Sons, Ltd.
Volume 22, Issue 12, pages 1405–1416, December 2013
How to Cite
Canning, D. (2013), AXIOMATIC FOUNDATIONS FOR COST-EFFECTIVENESS ANALYSIS. Health Econ., 22: 1405–1416. doi: 10.1002/hec.2889
- Issue published online: 5 NOV 2013
- Article first published online: 26 FEB 2013
- Manuscript Accepted: 31 OCT 2012
- Manuscript Revised: 4 OCT 2012
- Manuscript Received: 5 NOV 2010
- project appraisal
We show that individual utilities can be measured in units of healthy life years. Social preferences over these life metric utilities are assumed to satisfy the Pareto principle, anonymity, and invariance to a change in origin. These axioms generate a utilitarian social welfare function implying the use of cost-effectiveness analysis in ordering health projects, based on maximizing the healthy years equivalents gained from a fixed health budget. For projects outside the health sector, our cost-effectiveness axioms imply a form of cost–benefit analysis where both costs and benefits are measured in equivalent healthy life years. Copyright © 2013 John Wiley & Sons, Ltd.