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Br J Ophthalmol 2004;88:979 doi:10.1136/bjo.2003.040030
  • Editorial

Value based medicine

  1. M M Brown1,2,
  2. G C Brown1,3
  1. 1Center for Value-Based Medicine, 1107 Bethlehem Pike, Suite 210, Flourtown, PA 19031-1404, USA
  2. 2Department of Ophthalmology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
  3. 3Retina Semice, Wills Eye Hospital, Jefferson Medical College, Philadelphia, PA, USA
  1. Correspondence to: Melissa Brown Center for Value-Based Medicine, 1107 Bethlehem Pike, Suite 210, Flourtown, PA 19031-1404, USA; lissa1011aol.com
  • Accepted 16 January 2004

Let’s get it right

The article by Hopley and associates in this issue of the BJO (p 982) is a well performed study that utilises a form of healthcare economic analysis that is increasing in popularity throughout the healthcare literature. This instrument, cost utility analysis, has also been referred to by some as cost effectiveness analysis. A review of the healthcare literature using the key words “cost utility analysis” and “cost effectiveness analysis” reveals 386 hits for the years 1999 through 2003, 248 hits from years 1994 through 1998, and 109 hits from years 1989 through 1993. In year 1988 there were only five papers.

Cost utility analysis measures the value (improvement in quality of life and length of life) conferred by an intervention. It is the basic instrument that allows the creation of a value based medicine database to concomitantly …

[Full text of this article]

Responses to this article

  • Authors' reply
    • Meilssa M. Brown,
    • Gary C. Brown
    Br J Ophthalmol published online September 14, 2009
  • Value-based medicine: Let's get it right
    • Steven M. Kymes,
    • Kevin D. Frick
    Br J Ophthalmol published online September 14, 2009

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