Some GP-commissioners have doubts about the utility and benefits, finding the cost-effectiveness figures rather thin.
ASP showed that, although the impact of the GP intervention was modest, the cost-effectiveness figures were impressive.
Warren and colleagues (2004) assessed the economic evaluation presented with the original NICE submission of insulin glargine and published revised cost-effectiveness figures.
Thirdly, the cost-effectiveness figures estimated also confirmed the findings of other studies (e.g. [ 54, 55]) namely that for the same disease, it was more attractive from an efficiency point of view to have the health problem taken care of at the lowest level of the referral system as possible.
The following key steps are required: The first step for contextualizing WHO-CHOICE cost-effectiveness figures involves the specification and definition of interventions to be included in the analysis, including a clear description of the target population, population-level coverage and, where applicable, the treatment regimen.
Using this criteria, 88 patients were selected - ranging from 9-19 per department - to determine cost-effectiveness (figure 2).
To satisfy the standard of cost-effectiveness, Figure 3 suggests that the cost of PCV-7 should be reduced to at least 35.1 or 21.5% of the base-case value with or without herd immunity, respectively.
Services are also very cost-effective, achieving an average cost per life year saved, after allowance for future health care savings, of £438 [ 2], which is over 50 times below the English National Institute of Health and Clinical Excellence's benchmark cost-effectiveness figure of £30,000 [ 3].
9 The figure shows results for various thresholds as a cost effectiveness acceptability curve (figure) to illustrate uncertainty regarding assignment of threshold values for willingness to pay.
There is, however, much uncertainty around this result; the cost effectiveness scatter in figure 2 shows the plots of incremental costs and incremental effects for doctors compared with nurses.
The cost effectiveness acceptability curve (Figure 5) generated from the probabilistic sensitivity analysis indicated that there was a greater than 95% probability of a cost per QALY gained less than US$25,499 for the interventon offered once and US$15,200 for the intervention offered annually.
