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EDITOR
Graham et al, who compared a touch screen system with
leaflets for providing women with information on prenatal
tests,1 and Wyatt in his commentary2 may be
too conservative in their conclusions. Graham et al mention the cost of
developing the system and Wyatt says because there is limited evidence
of benefit for these expensive tools over well designed leaflets they
should be used only in the context of rigorous research studies.
However, the study did not include an economic comparison of the use of the computer and leaflets. A full economic analysis would compare the
estimated development costs of £25 000 and the subsequent maintenance
costs with the costs of the alternative. It would then compare the
costs with the marginal benefits during the period that the system is
in use.
If the system is readily transferable to another site,
development costs at that other site would not be