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The cost-effectiveness of life-saving interventions in Japan. Do chemical regulations cost too much?
Atsuo Kishimoto1, Tosihiro Oka, Junko Nakanishi
1Research Center for Chemical Risk Management, National Institute of Advanced Industrial Science and Technology, 16-1 Onogawa, AIST West, Tsukuba, Ibaraki 305-8569, Japan. kishimoto-atsuo@aist.go.jp
Abstract:
This paper compares the cost-effectiveness of life-saving interventions in Japan, based on information collected from the health, safety and environmental literature. More than 50 life-saving interventions are analyzed. Cost-effectiveness is defined as the cost per life-year saved or as the cost per quality-adjusted life-year saved. Finding a large cost-effectiveness disparity between chemical controls and health care intervention, we raise the question of whether chemical regulations cost society too much. We point out the limitations of this study and propose a way to improve the incorporation of morbidity effects in cost-effectiveness analysis.
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