doi: 10.1177/0272989X20912261.
Epub 2020 Mar 14.
Mutually Exclusive Interventions in the Cost-Effectiveness Bookshelf
Affiliations
- PMID: 32172657
- PMCID: PMC7241072
- DOI: 10.1177/0272989X20912261
Item in Clipboard
Mutually Exclusive Interventions in the Cost-Effectiveness Bookshelf
Med Decis Making.
2020 Apr.
No abstract available
Keywords: cost-effectiveness analysis; cost-effectiveness threshold; health economics; opportunity cost; resource allocation.
Conflict of interest statement
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Figures
Bookshelf illustration of a health care system with a set of 9 independent interventions from which to choose. QALYs, quality-adjusted life years.
Bookshelf illustrations of a health care system where interventions within a patient group are mutually exclusive. The height and width of a book represents (a, b) average cost-effectiveness and total cost or (c, d) incremental cost-effectiveness and incremental cost. Bookshelves to the left (a and c) depict the reference scenario where the system remains unchanged; bookshelves to the right (b and d) depict the scenario where intervention D is included in the system. A tick on the horizontal axis represents $100,000 in total spending. Numbers represent thousands of quality-adjusted life years (QALYs) produced by the individual interventions (small) and the health care system in total (big).
Similar articles
-
Cost-effectiveness analysis and incremental cost-effectiveness ratios: uses and pitfalls.Eur J Gastroenterol Hepatol. 2004 Jun;16(6):519-26. doi: 10.1097/00042737-200406000-00003. Eur J Gastroenterol Hepatol. 2004. PMID: 15167152 Review.
-
Healthcare rationing by proxy: cost-effectiveness analysis and the misuse of the $50,000 threshold in the US.Pharmacoeconomics. 2010;28(3):175-84. doi: 10.2165/11530650-000000000-00000. Pharmacoeconomics. 2010. PMID: 20067332
-
[Methods of comparative economic evaluations of therapies and for rational allocation of resources across sectors of health care systems - introduction, advantages, risks].Psychiatr Prax. 2001 Jul;28 Suppl 1:S12-20. doi: 10.1055/s-2001-15382. Psychiatr Prax. 2001. PMID: 11533902 Review. German.
-
Determinants of Change in the Cost-effectiveness Threshold.Med Decis Making. 2017 Feb;37(2):264-276. doi: 10.1177/0272989X16662242. Epub 2016 Sep 27. Med Decis Making. 2017. PMID: 27553208
-
Why not real economics?Pharmacoeconomics. 2012 Feb 1;30(2):127-31. doi: 10.2165/11593350-000000000-00000. Pharmacoeconomics. 2012. PMID: 22185186 No abstract available.
Cited by
-
The ethics of aggregation in cost-effectiveness analysis or, "on books, bookshelves, and budget impact".Front Health Serv. 2022 Oct 13;2:889423. doi: 10.3389/frhs.2022.889423. eCollection 2022. Front Health Serv. 2022. PMID: 36925796 Free PMC article.
References
-
- Culyer AJ. Cost-effectiveness thresholds in health care: a bookshelf guide to their meaning and use. Health Econ Policy Law. 2016;11(4):415–32. - PubMed
-
- Paulden M, O’Mahony J, McCabe C. Determinants of change in the cost-effectiveness threshold. Med Decis Making. 2017;37(2):264–76. - PubMed
-
- Johannesson M, Weinstein MC. On the decision rules of cost-effectiveness analysis. J Health Econ. 1993;12(4):459–67. - PubMed
-
- Karlsson G, Johannesson M. The decision rules of cost-effectiveness analysis. Pharmacoeconomics. 1996;9(2):113–20. - PubMed
-
- Weinstein M, Zeckhauser R. Critical ratios and efficient allocation. J Public Econ. 1973;2(2):147–57.
