Cost/benefit analysis of treatment and prevention of myocardial infarction

The benefits resulting from introduction of coronary care units, mobile coronary care units, and a screening and intervention program to decrease the incidence of myocardial infarction (MI) are reduced to a common basis by modeling the effects of the three strategies as applied to a cohort of 10-yea...

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Bibliographic Details
Published inHealth services research Vol. 12; no. 2; pp. 174 - 189
Main Author Cretin, S
Format Journal Article
LanguageEnglish
Published United States 1977
Subjects
Child
Coronary Care Units
Cost-Benefit Analysis
Humans
Mass Screening
Mobile Health Units
Myocardial Infarction - mortality
Myocardial Infarction - prevention & control
Quality of Health Care
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Summary:The benefits resulting from introduction of coronary care units, mobile coronary care units, and a screening and intervention program to decrease the incidence of myocardial infarction (MI) are reduced to a common basis by modeling the effects of the three strategies as applied to a cohort of 10-years-olds. Published data on MI are used with a semi-Markov model of death from MI and other causes to estimate program effects on long-term survival, and cost/benefit ratios are compared for the three programs with both costs and benefits discounted over the lifetime of the cohort. Some problems of selecting a discount rate for comparing programs that incur costs and accrue benefits at widely separated times are discussed.
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ISSN:0017-9124