This volume investigates the methodological rigor and consistency of economic evaluation techniques applied to health care interventions prior to 1980. M. F. Drummond, a recognized authority in health economics, provides a systematic critique of existing literature to establish a baseline for quality in cost-benefit analysis. By examining a large sample of published studies, the author identifies common analytical pitfalls and proposes a framework for improving future economic appraisals in the medical field.

Experts identify this work as a foundational text for understanding the evolution of health economics and the standardization of appraisal methods. Readers frequently note the academic density of the prose, which serves as a technical reference for researchers and students of health policy.