Health Economic Assessment: Cost-Effectiveness Thresholds and Other Decision Criteria

International Journal of Environmental Research and Public Health

关键词: health economics;    economic evaluation;    cost-effectiveness;    cost-effectiveness threshold;    opportunity cost;    decision criteria;    multi-criteria decision analysis;   

DOI  :  10.3390/ijerph7041835

来源: mdpi

【 摘 要 】

An article published in this Journal argued that New Zealand does not apply a cost-effectiveness threshold because medicines are funded within a fixed budget and because cost-effectiveness is only one of nine criteria that inform decisions. This Comment has explained that, from a theoretical perspective, the cost-effectiveness threshold model is not inconsistent with these two arguments. The observed annual variation in incremental cost-effectiveness ratios in New Zealand may originate from yearly differences in new medicines that request reimbursement and in the budget size, and from the fact that decision makers take into account other decision criteria in addition to cost-effectiveness.

【 授权许可】

CC BY   
© 2010 by the authors; licensee Molecular Diversity Preservation International, Basel, Switzerland.