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However, since it is conceivable that individuals may not value their health and money in the same way, then arguments for using differential discount rates seem warranted.
2 Sensitivity analyses that test the effects of differential discount rates on costs and outcomes are recommended.
However, currently, much debate still surrounds two major points: the underlying discounting model and the differential discount rate for health and cost [ 28- 30].
However, currently, much debate still surrounds two major points: the underlying discounting model and the differential discount rate for health and cost (Gold et al, 1996; National Institute of Clinical Excellence, 2004; Bos et al, 2005; Brouwer et al, 2005).
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This reflects the previous guidelines set by NICE, which recognised that differential discounting is appropriate in certain cases [ 33].
Differential discounting, with discount rates for health benefits lower than for costs, would certainly devalue future health benefits by much less than uniform discounting does.
In accordance with guidelines for differential discounting, effects will be discounted at a rate of 1.5% and costs at 4% per year [ 39].
In accordance with guidelines for differential discounting, effects will be discounted at a rate of 1.5% and costs at 4% per year [ 33].
In accordance with guidelines, differential discounting was applied with an annual rate of 1.5% for health effects an 4.0% for costs of care.
Differential discounting (6% on costs and 1.5% on benefits) resulted in the cost per relapse at 8 years being £10,184 (€16,323) and cost per QALY £20,929 (€33,545).
Differential discounting using rates of 1.5% for health effects and 4% for costs is recommended by the Dutch Health Care Insurance Board, whereas a uniform rate of 3% is more common in international comparisons.
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