Optimal allocation of resources over health care programmes: dealing with decreasing marginal utility and uncertainty
研究了在成本和效果不确定且边际效用递减的情况下，如何评估不同成本效果比的医疗项目，通过扩展传统框架纳入灵活预算和期望效用模型。
This paper addresses the problem of how to value health care programmes with different ratios of costs to effects, specifically when taking into account that these costs and effects are uncertain. First, the traditional framework of maximising health effects with a given health care budget is extended to a flexible budget using a value function over money and health effects. Second, uncertainty surrounding costs and effects is included in the model using expected utility. Other approaches to uncertainty that do not specify a utility function are discussed and it is argued that these also include implicit notions about risk attitude.