Evidence-based Health Economics: From effectiveness to efficiency in systematic review

Cam Donaldson, Miranda Mugford, Luke Vale*

*Corresponding author for this work

Research output: Book/ReportBook


In his seminal work From Effectiveness to Efficiency: Random Reflections on Health Care, Archie Cochrane said, in 1971,

'More and more, requests for additional facilities will have to be based on detailed arguments with "hard evidence" as to the gain to be expected from the patient's angle and the cost. Few could possibly object to this.'

These words are as true today as when they were written. Evidence-based clinical practice isolated from economic issues is not a realistic goal. Furthermore, narrow evidence-based medicine methodologies may lead to an inefficient health policy and greater inequalities in health.
Original languageEnglish
Place of PublicationLondon
PublisherJohn Wiley & Sons Ltd.
Number of pages180
ISBN (Print)0727915797, 9780727915795
Publication statusPublished - 2002


  • nursing
  • family practice medicine


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