A 2005 British Medical Journal paper found that ORT was one of the interventions that "would be chosen on purely cost effectiveness grounds for any level of resource availability".
However, on equity, quality and effectiveness grounds, it becomes important to evaluate how this care is provided and what factors affect service outcomes [ 3].
This could potentially weaken, in the long term, the capacity of Australia's Pharmaceutical Benefits Advisory Committee ('PBAC') to reject, on clinical and cost effectiveness grounds, new medicines from inclusion in the government's PBS positive reimbursement list, or to reference their reimbursement price against older products with equivalent efficacy but much reduced price[ 13].
Hepatitis A and Varicella were not included on the basis that, on cost-effectiveness grounds, they were less likely to be included in the schedule in the medium term.
The potential usefulness of this information for health policy and planning can be seen in terms of confirming if current intervention strategies can be justified on cost-effectiveness grounds, and showing what other options would be cost-effective if additional resources became available.
PHARMAC, with the assistance of independent medical experts on the Pharmacology and Therapeutics Advisory Committee ("PTAC") and its specialist sub-committees, manages, on cost-effectiveness grounds set out in guidelines, a Federal formulary, known as the Pharmaceutical Schedule.
The Cancer Drugs Fund, set up by the Coalition Government in 2010, pays for drugs that have already been rejected on cost-effectiveness grounds by the NHS rationing body, the National Institute of Health and Care Excellence (NICE), or drugs that have not yet been assessed.
It is unlikely that dapagliflozin will be used as first-line monotherapy, on cost-effectiveness grounds.
The treatment with the highest MNB represents good value for money and is preferred on cost-effectiveness grounds.
Any benefits generated by PR are unlikely to be of sufficient magnitude to warrant recommending PR for this patient group on cost-effectiveness grounds alone.
