hugh gravelle and dave smith：休米gravelle和戴夫史密斯精选.pdfVIP

CENTRE FOR HEALTH ECONOMICS Discounting for Health Effects in Cost Benefit and Cost Effectiveness Analysis Hugh Gravelle and Dave Smith CHE Technical Paper Series 20   CENTRE FOR HEALTH ECONOMICS TECHNICAL PAPER SERIES The Centre for Health Economics has a well established Discussion Paper series which was originally conceived as a means of circulating ideas for discussion and debate amongst a wide readership that included health economists as well as those working within the NHS and pharmaceutical industry. The introduction of a Technical Paper Series offers a further means by which the Centre’s research can be disseminated. The Technical Paper Series publishes papers that are likely to be of specific interest to a relatively specialist audience, for example papers dealing with complex issues that assume high levels of prior knowledge, or those that make extensive use of sophisticated mathematical or statistical techniques. The content of the paper and its format are entirely the responsibility of the author, and papers published in the Technical Paper series are not subject to peer-review or editorial control, unlike those produced in the Discussion Paper series. Offers of further papers, and requests for information should be directed to Frances Sharp in the Publications Office, Centre for Health Economics, University of York. October 2000 © H. Gravelle and D. Smith 2 Discounting for Health Effects in Cost Benefit and Cost Effectiveness Analysis * ** Hugh Gravelle Dave Smith Abstract : When health effects can be valued in monetary terms, as in CBA, they should be discounted at the same rate as