期刊
VALUE IN HEALTH
卷 24, 期 10, 页码 1423-1434出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jval.2021.05.018
关键词
cost-effectiveness threshold; demand-side method; systematic review; value of life-year; value of statistical life; willingness to pay per quality-adjusted life-year
资金
- Mahidol University
- International Decision Support Initiative
- Bill & Melinda Gates Foundation
- UK Department for International Development
- Rockefeller Foundation
This study systematically reviewed demand-side methods for estimating the societal monetary value of health gain, including direct and indirect approaches. The research found that existing CET values are typically lower than GDP per capita, highlighting the need for a more standardized and internationally agreed methodology for estimating CET.
Objectives: Although many reviews of the literature on cost-effectiveness thresholds (CETs) exist, the availability of new studies and the absence of a fully comprehensive analysis warrant a new review. This study systematically reviews demand-side methods for estimating the societal monetary value of health gain. Methods: Several electronic databases were searched from inception to October 2019. To be included, a study had to be an original article in any language, with a clearly described method for estimating the societal monetary values of health gain and with all estimated values reported. Estimates were converted to US dollars ($), using purchasing power parity (PPP) exchange rates and the gross domestic product (GDP) per capita (2019). Results: We included 53 studies; 45 used direct approach and 8 used indirect approach. Median estimates from the direct approach were PPP$ 24942 (range 554-1301912) per quality-adjusted life-year (QALY), which were typically 0.53 (range 0.02-24.08) GDP per capita. Median estimates using the indirect approach were PPP$ 310 051 (range 36 402-7 574 870) per QALY, which accounted for 7.87 (range 0.68-116.95) GDP per capita. Conclusions: Our review found that the societal values of health gain or CETs were less than GDP per capita. The great variety in methods and estimates suggests that a more standardized and internationally agreed methodology for estimating CET is warranted. Multiple CETs may have a role when QALYs are not equally valued from a societal perspective (eg, QALYs accruing to people near death compared with equivalent QALYs to others).
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据