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. 2004 Jul 24;329(7459):224-7.
doi: 10.1136/bmj.329.7459.224.

National Institute for Clinical Excellence and its value judgments

Michael D Rawlins  1 , Anthony J Culyer
Affiliations

National Institute for Clinical Excellence and its value judgments

Michael D Rawlins et al. BMJ. .

Abstract

NICE has to make both scientific and social value judgments when appraising health technologies and developing clinical guidelines for the NHS. Here, its chair and previous vice chair explain the rationale behind the decisions

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Figures

Figure 1
Figure 1
Relation between likelihood of a technology being considered as cost ineffective plotted against the log of the incremental cost effectiveness ratio
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Comment in

References

    1. National Institute for Clinical Excellence. A guide to NICE. London: NICE, 2003.
    1. National Institute for Clinical Excellence. Scientific and social value judgements. London: NICE, 2004. www.nice.org.uk/Pdf/boardmeeting/brdmay04item6.pdf (accessed 15 Jun 2004)
    1. National Institute for Clinical Excellence. Guidance on the use of fludarabine for B-cell chronic lymphatic leukaemia. London: NICE, 2002. (Technology appraisal No 29.) www.nice.org.uk/page.aspx?o=22179 (accessed 25 Jun 2004).
    1. Weinstein ML. From cost effectiveness ratios to resource allocation: where to draw the line. In: Sloan FA, ed. Valuing health. Cambridge: Cambridge University Press, 1995.
    1. Towse A, Pritchard C, Devlin N, eds. Cost effectiveness thresholds: economic and ethical issues. London: Office of Health Economics, Kings Fund, 2002.

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