Vision and Scope
From the public health perspective, HSPH recognizes the importance of not only medical care but also the organization of health care delivery, health care financing and payment, community-based and workplace-based health interventions, and interventions that affect health behavior, the food supply, and the physical and social environment as determinants of health outcomes. The clear implication is that interventions intended to improve health outcomes by any means should be included in the scope of CER. Moreover, HSPH considers methods of assessing health value, such as cost-effectiveness analysis and preference-based measures of health improvement such as quality-adjusted life years, to be essential elements of policy-relevant CER. Quantitative, comparative measures of health value will provide decision makers with the best information to make the health care system work more efficiently. Higher-value health care can lead to improved health outcomes while stabilizing or reducing health care expenditures.