To the Editor: Dr Jefferson and colleagues1 report that many economic evaluations of health
care have serious methodological flaws, and that these have not improved over
time. This is particularly disappointing because many of the current methodological
standards were established 2 decades ago. Thus, the article by Jefferson et
al is unlikely to improve the acceptance of such studies. Many physicians
view health economic studies with skepticism2
and now may find further reason for their reservation.
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