首页   按字顺浏览 期刊浏览 卷期浏览 COST EFFECTIVENESS OF THE MULTICHANNEL COCHLEAR IMPLANT
COST EFFECTIVENESS OF THE MULTICHANNEL COCHLEAR IMPLANT

 

作者: J. Wyatt,   John Niparko,   Margaret Rothman,   Gregory deLissovoy,  

 

期刊: The American Journal of Otology  (OVID Available online 1995)
卷期: Volume 16, issue 1  

页码: 52-62

 

ISSN:0192-9763

 

年代: 1995

 

出版商: OVID

 

数据来源: OVID

 

摘要:

Although most third-party payors presently fund cochlear implantation, some do not, and many cite the current lack of cost-effectiveness data as a major concern. Cost-utility analysis is a widely used method of medical technology assessment that permits cost-effectiveness comparisons between medical interventions by determining the cost per quality-adjusted life-year (QALY) they provide. The cost per QALY for the cochlear implant was determined using clinical cost data and a health-utility outcome model based on the established communication gains attained with the device. Cochlear implantation costs approximately $15,600 per QALY provided. Sensitivity analysis, a technique that systematically varies the assumptions underlying the calculations, suggests a range for the true value of between $12,000 and $30,000. This compares favorably with other medical interventions, such as coronary artery bypass grafting ($10,431 for three-vessel disease, $64,033 for single-vessel disease), the implantable defibrillator ($29,200), and cardiac transplantation ($38,970). This analysis indicates that the cochlear implant lies well within the cost-effectiveness range currently accepted by the American medical system.

 

点击下载:  PDF (783KB)



返 回