Chi, Y-Ling, Blecher, Mark, Chalkidou, Kalipso et al. (16 more authors) (2020) What next after GDP-based cost-effectiveness thresholds? [version 1; peer review: 2 approved]. Gates open research. 176. ISSN 2572-4754
Abstract
Public payers around the world are increasingly using cost-effectiveness thresholds (CETs) to assess the value-for-money of an intervention and make coverage decisions. However, there is still much confusion about the meaning and uses of the CET, how it should be calculated, and what constitutes an adequate evidence base for its formulation. One widely referenced and used threshold in the last decade has been the 1-3 GDP per capita, which is often attributed to the Commission on Macroeconomics and WHO guidelines on Choosing Interventions that are Cost Effective (WHO-CHOICE). For many reasons, however, this threshold has been widely criticised; which has led experts across the world, including the WHO, to discourage its use. This has left a vacuum for policy-makers and technical staff at a time when countries are wanting to move towards Universal Health Coverage. This article seeks to address this gap by offering five practical options for decision-makers in low- and middle-income countries that can be used instead of the 1-3 GDP rule, to combine existing evidence with fair decision-rules or develop locally relevant CETs. It builds on existing literature as well as an engagement with a group of experts and decision-makers working in low, middle and high income countries.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2020 Chi YL et al. |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Social Sciences (York) > Centre for Health Economics (York) The University of York > Faculty of Social Sciences (York) > Economics and Related Studies (York) |
Depositing User: | Pure (York) |
Date Deposited: | 19 Mar 2021 10:20 |
Last Modified: | 18 Dec 2024 00:18 |
Published Version: | https://doi.org/10.12688/gatesopenres.13201.1 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.12688/gatesopenres.13201.1 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:172348 |
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Description: What next after GDP-based cost-effectiveness thresholds?
Licence: CC-BY 2.5