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dc.contributor.authorClaxton, K
dc.contributor.authorAsaria, M
dc.contributor.authorChansa, C
dc.contributor.authorJamison, J
dc.contributor.authorLomas, J
dc.contributor.authorOchalek, J
dc.contributor.authorPaulden, M
dc.date.accessioned2019-02-06T15:38:39Z
dc.date.issued2019-01-26
dc.description.abstractThe primary focus of this paper is to offer guidance on the analysis of time streams of effects that a project may have so that they can be discounted appropriately. This requires a framework that identifies the common parameters that need to be assessed, whether conducting cost-effectiveness or benefit-cost analysis. The quantification and conversion of the time streams of different effects into their equivalent health, health care cost or consumption effects avoids embedding multiple arguments in discounting policies. This helps to identify where parameters are likely to differ in particular contexts, what type of evidence would be relevant, what is currently known and how this evidence might be strengthened. The current evidence available to support the assessment of the key parameters is discussed and possible estimates and default assumptions are suggested. Reporting the results in an extensive way is recommended. This makes the assessments required explicit so the impact of alternative assumptions can be explored and analysis updated as better estimates evolve. Some projects will have effects across different countries where some or all of these parameters will differ. Therefore, the net present value of a project will be the sum of the country specific net present values rather than the sum of effects across countries discounted at some common rate.en_GB
dc.description.sponsorshipBill & Melinda Gates Foundationen_GB
dc.description.sponsorshipBill & Melinda Gates Foundationen_GB
dc.identifier.citationAwaiting citation and DOI.en_GB
dc.identifier.doi10.1017/bca.2018.29
dc.identifier.grantnumberOPP1160057en_GB
dc.identifier.grantnumberOPP1165566en_GB
dc.identifier.urihttp://hdl.handle.net/10871/35763
dc.language.isoenen_GB
dc.publisherCambridge University Pressen_GB
dc.rights© Society for Benefit-Cost Analysis, 2019. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.en_GB
dc.subjectHealthen_GB
dc.titleAccounting for timing when assessing health-related policiesen_GB
dc.typeArticleen_GB
dc.date.available2019-02-06T15:38:39Z
dc.descriptionThis is the final version. Available from Cambridge University Press via the DOI in this record.en_GB
dc.identifier.journalJournal of Benefit-Cost Analysisen_GB
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_GB
dcterms.dateAccepted2019-02-01
rioxxterms.versionVoRen_GB
rioxxterms.licenseref.startdate2019-01-26
rioxxterms.typeJournal Article/Reviewen_GB
refterms.dateFCD2019-02-05T11:38:10Z
refterms.versionFCDVoR
refterms.dateFOA2019-02-06T15:38:42Z
refterms.panelCen_GB


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© Society for Benefit-Cost Analysis, 2019. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Except where otherwise noted, this item's licence is described as © Society for Benefit-Cost Analysis, 2019. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.