TY - CHAP M1 - Book, Section TI - ECONOMICS AND COST-EFFECTIVENESS IN CARDIOLOGY A1 - Mark, Daniel B. A2 - Fuster, Valentin A2 - Harrington, Robert A. A2 - Narula, Jagat A2 - Eapen, Zubin J. PY - 2017 T2 - Hurst's The Heart, 14e AB - SummaryThis chapter describes the discipline of health economics and the useful role it may have in debates about dealing with the ever-rising costs of the medical care system. The chapter also reviews the health economics of specific therapies and strategies used in the care of patients with heart failure, atrial fibrillation, and coronary artery disease. Widespread concern exists about the current and future costs of health care, and uncertainty about the best way to control these costs is tremendous. Health economics is the study of the production and allocation of health care resources, and is based on the ideas that society’s collective resources are finite and that choices need to be made about the best ways to use these limited resources to fulfill the needs and desires of society. Three critical questions exist for health economics (see accompanying Hurst’s Central Illustration): (1) What long-term effects does it have on health outcomes, and what is the level of evidence supporting the current state of understanding about clinical effectiveness? (2) Is it good value for money? (3) Can we afford it? Notably, the value of economic analysis is highly dependent on the quality and relevance of the data available for the work; much modeling is performed because clinical studies rarely provide all the data that are needed for a comprehensive health economics analysis. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accessmedicine.mhmedical.com/content.aspx?aid=1191189649 ER -