Portfolio evaluation of health programs: a reply to Sendi et al

John F. P. Bridges and Darcey D. Terris

Social Science & Medicine, 2004, vol. 58, issue 10, 1849-1851

Abstract: Sendi et al. (Soc. Sci. Med. 57 (2003) 2207) extend previous research on cost-effectiveness analysis to the evaluation of a portfolio of interventions with risky outcomes using a "second best" approach that can identify improvements in efficiency in the allocation of resources. This method, however, cannot be used to directly identify the optimal solution to the resource allocation problem. Theoretically, a stricter adherence to the foundations of portfolio theory would permit direct optimization in portfolio selection, however, when we include uncertainty in our analysis in addition to the traditional concept of risk (which is often mislabelled uncertainty) complexities are introduced that create significant hurdles in the development of practical applications of portfolio theory for health care policy decision making.

Keywords: Portfolio; Uncertainty; Cost-effectiveness; analysis (search for similar items in EconPapers)
Date: 2004
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Citations: View citations in EconPapers (2)

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