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Cost-utility analysis from a societal perspective.

M Johannesson1, R M O'Conor

  • 1Centre for Health Economics, Stockholm School of Economics, Sweden. HEMJ@HHS.SE

Health Policy (Amsterdam, Netherlands)
|February 6, 1997
PubMed
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This study proposes using a fixed price per quality-adjusted life year (QALY) gained for healthcare economic evaluations. This approach, from a societal perspective, aims to maximize overall utility by considering all costs.

Area of Science:

  • Health Economics
  • Decision Analysis
  • Public Health Policy

Background:

  • Economic evaluation of healthcare is crucial for resource allocation.
  • Societal perspective in cost-utility analysis (CUA) aims for comprehensive assessment.
  • Current decision rules may not fully capture societal utility.

Purpose of the Study:

  • To outline the use of CUA from a societal perspective for healthcare economic evaluation.
  • To propose a decision rule based on a price per quality-adjusted life year (QALY) gained.
  • To argue for the societal utility maximization through optimal pricing per QALY.

Main Methods:

  • Cost-utility analysis (CUA) framework.
  • Societal perspective incorporating all costs.

Related Experiment Videos

  • Decision rule based on willingness to pay per QALY gained.
  • Main Results:

    • A fixed price per QALY gained, rather than a budget, is recommended as the decision rule for CUA.
    • This approach is consistent with societal utility maximization under specific conditions.
    • Optimal pricing per QALY gained can lead to maximized societal utility.

    Conclusions:

    • Willingness to pay per QALY gained should be a research priority to refine CUA decision rules.
    • Implementing a constant, universal price per QALY maximizes societal utility.
    • CUA from a societal perspective with a fixed price per QALY offers an optimal decision-making framework.