Methoden vergleichen

	Kosten-Nutzen-Analyse (KNA)	Markov-Modell in der Gesundheitsökonomie
Fachgebiet	Gesundheitsökonomie	Gesundheitsökonomie
Familie	Process / pipeline	Process / pipeline
Entstehungsjahr	1984	1983
Urheber	Drummond & Stoddart (Health Economics Research Group, McMaster University)	Beck & Pauker (medical decision analysis, Massachusetts General Hospital)
Typ	Method	Method
Wegweisende Quelle	Gold, M. R., Siegel, J. E., Russell, L. B., & Weinstein, M. C. (Eds.). (1996). Cost-Effectiveness in Health and Medicine. New York: Oxford University Press.	Beck, J. R., & Pauker, S. G. (1983). The Markov Process in Medical Prognosis. Medical Decision Making, 3(4), 419-458.
Aliasnamen	CEA, ICER, Incremental Cost-Effectiveness Ratio	Markov model, state transition model, cohort simulation
Verwandt	5	5
Zusammenfassung	Cost-effectiveness analysis compares the incremental cost per unit of health benefit gained by one intervention relative to a comparator (standard care or best alternative). Developed rigorously in the 1980s by Drummond, Stoddart, and colleagues, CEA is now the standard framework for technology appraisal globally. NICE, HAS, CADTH, and other health technology assessment bodies use CEA to decide which treatments warrant public funding and at what price.	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.