Back to Journals » Patient Preference and Adherence » Volume 5

Patient experience – the ingredient missing from cost-effectiveness calculations

Authors Curtis D

Published 30 May 2011 Volume 2011:5 Pages 251—254


Review by Single anonymous peer review

Peer reviewer comments 2

David Curtis
Centre for Psychiatry, Barts and the London School of Medicine and Dentistry, London, UK

Abstract: Standard cost-effectiveness calculations as used by the UK National Institute of Clinical Excellence compare the net benefit of an intervention with the financial costs to the health service. Debates about public health interventions also focus on these factors. The subjective experience of the patient, including financial costs and also transient pain, distress, and indignity, is routinely ignored. I carried out an Internet survey which showed that members of the public assign a high financial cost to routine medical interventions such as taking a tablet regularly or attending a clinic for an injection. It is wrong to ignore such costs when attempting to obtain an overall evaluation of the benefit of medical interventions.

Keywords: screening, prevention, financial cost, medical interventions

Creative Commons License © 2011 The Author(s). This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.