The Medical-Economical Evaluation of the Health Programs Accessibility or Hope in the Performance of the Management in the Sanitary Institutions?

Abstract

Appreciated as a brave and complex practice, having as object the finding of the efficiency, through the prism of the report cost-performance marginally maximally acceptable, the evaluation medical-economical is regarded with quite reserve, even reticent by the sanitary environment, the elements which explain this concern being of ethical nature. In exchange, for an economist, taking into consideration the economical aspects represents an ethical necessity which leads to the permission to the maxim level of health with a given budget and distributed in a good manner, taking into consideration the existent compulsions. Questions like: "From what perspective are we treating the evaluation? What are its instruments? What is the typology of the costs and how do we quantify them? Are we taking into consideration the time and space effect? It constitutes problems specific to the analyzed models, opened to debates and controversies capable to combat the famous line "The cost is an illusion".

Keywords: the lottery method, the time trade off method, quality adjusted life years, decisional shaft, willingness-to-pay, cost-utility, cost-efficiency, cost-utility

JEL Classification: M10