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Exact(5)
The maximum acceptable cost per QALY used to decide whether a medical intervention is worthwhile is primarily a political decision.
Questions about medicine names, treatment cost, and the maximum acceptable cost of treatment per month were inquired among patients who received antihypertensive treatment.
If, for political reasons, total public expenditures on health care are limited, a rational allocation of these limited resources may require a relatively low maximum acceptable cost per QALY level.
The insensitivity to the probability of presence and detection rate is useful because managers simply need to know the costs (cc and ce) and the maximum acceptable cost (T) to determine the most robust search effort.
However, from a welfare point of view insight in the value individuals attach to health and health improvements may be useful to determine the maximum acceptable cost per QALY for a medical intervention (and, by implication, the total resources available for health care).
Similar(54)
Estimates on the compensating income variation of diseases and health problems may provide useful information on the maximum acceptable cost-effectiveness ratio of medical interventions than those currently used by policy makers.
The added value of a cost-effectiveness analysis is that we report the joint uncertainty in effects and costs, allowing us to report the probability that the RECODE programme would be cost-effective at various threshold values of the maximum acceptable costs per quality-adjusted life year (QALY) gained.
If we account for efficacy and the probability that a treatment provides perfect cure, the discrepancy between the CIV and the maximum acceptable costs per QALY used by policy makers in their decisions whether interventions are cost-effective becomes even larger.
It should be noted, however, that the theoretical assumptions on which the figures on the maximum acceptable costs per QALY as used by policy makers, the value of a QALY, the value of a statistical life year and the estimates of the compensating income variation are based differ.
The value of a statistical life year and the compensating income variation are based on strictly welfarist assumptions, whereas extra welfarist arguments may influence the value of a QALY and the maximum acceptable costs per QALY used by health policy makers.
No product preference or maximum acceptable price was modeled.
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