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Related Experiment Videos

Affordability and cost-effectiveness: decision-making on the cost-effectiveness plane.

P P Sendi1, A H Briggs

  • 1Institute for Medical Technology Assessment, Erasmus University, Rotterdam, The Netherlands.

Health Economics
|December 18, 2001
PubMed
Summary

This study introduces the affordability curve to assess health program budgets. It combines cost-effectiveness analysis with budget constraints, offering a practical tool for decision-makers.

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Area of Science:

  • Health economics
  • Decision analysis
  • Cost-effectiveness analysis

Background:

  • Traditional cost-effectiveness analysis (CEA) struggles with negative Incremental Cost-Effectiveness Ratios (ICERs).
  • Existing methods like net-benefit statistics and acceptability curves do not fully address fixed-budget constraints.
  • Decision-makers face challenges funding interventions that are cost-effective but exceed budget limits.

Purpose of the Study:

  • To introduce a novel 'affordability curve' for cost-effectiveness analysis.
  • To address the limitation of fixed budgets in health care decision-making.
  • To provide a more comprehensive tool for evaluating health interventions.

Main Methods:

  • Development of the 'affordability curve' concept.

Related Experiment Videos

  • Calculation of the probability that a program is affordable within various budget thresholds.
  • Integration of affordability with cost-effectiveness using joint probability.

    • Main Results:

    • The affordability curve reflects the likelihood of a program being affordable across different budget levels.
    • The joint probability of affordability and cost-effectiveness provides a more complete decision-making metric.
    • This approach better reflects the realities faced by budget holders in health services.

    Conclusions:

    • The affordability curve is a valuable addition to cost-effectiveness analysis, especially under budget constraints.
    • Jointly considering affordability and cost-effectiveness improves decision-making for health service budgets.
    • This method offers a practical solution for resource allocation in health care.