Methoden vergleichen

	Kosten-Nutzen-Analyse (KNA)	Markov-Modell in der Gesundheitsökonomie
Fachgebiet	Gesundheitsökonomie	Gesundheitsökonomie
Familie	Process / pipeline	Process / pipeline
Entstehungsjahr	1970s	1983
Urheber	Boardman, Greenberg, and colleagues (welfare economics)	Beck & Pauker (medical decision analysis, Massachusetts General Hospital)
Typ	Method	Method
Wegweisende Quelle	Boardman, A. E., Greenberg, D. H., Vining, A. R., & Weimer, D. L. (2018). Cost-Benefit Analysis: Concepts and Practice (5th ed.). Cambridge: Cambridge University Press.	Beck, J. R., & Pauker, S. G. (1983). The Markov Process in Medical Prognosis. Medical Decision Making, 3(4), 419-458.
Aliasnamen	CBA, economic appraisal, benefit-cost ratio	Markov model, state transition model, cohort simulation
Verwandt	5	5
Zusammenfassung	Cost-benefit analysis compares the total monetary value of benefits produced by a program against its total monetary costs, reporting net present value (NPV) or benefit-cost ratio (BCR). Rooted in welfare economics and used extensively in public policy (transportation, environmental, education, health), CBA answers the question: 'Is this program worth doing from a societal perspective?' Unlike cost-effectiveness analysis, CBA monetizes both costs and benefits, enabling comparison across disparate program types.	A Markov model is a decision-analytic tool that simulates disease progression through defined health states over time, calculating cumulative costs and quality-adjusted life years (QALYs) to enable cost-effectiveness analysis. Developed by Beck and Pauker in 1983, Markov models are now the standard framework for projecting long-term outcomes of health interventions, especially chronic diseases where patients transition between clinical states (treatment response, disease progression, remission, death). Used by health technology assessment bodies and pharmaceutical companies to predict intervention value beyond trial duration.