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Published on: January 9, 2016
Influence of waiting time on cost-effectiveness
M A Koopmanschap1, W B F Brouwer, L Hakkaart-van Roijen
1Institute for Medical Technology Assessment, Erasmus University Rotterdam, P.O. Box 1738, 3000 DR Rotterdam, The Netherlands. koopmanschap@bmg.eur.nl
Economic evaluations must account for healthcare waiting times. Waiting can significantly impact cost-effectiveness, especially if health loss is irreversible, influencing policy decisions.
Area of Science:
- Health economics
- Health services research
Background:
- Economic evaluations guide health policy decisions.
- Healthcare systems often involve waiting lists, impacting patient access and outcomes.
Purpose of the Study:
- To explore the relationship between waiting time and the cost-effectiveness of health care programs.
- To highlight the importance of incorporating waiting times into economic evaluations.
Main Methods:
- Exploration of theoretical relationships between waiting time and cost-effectiveness.
- Scenario-dependent analysis of waiting time impacts.
Main Results:
- The impact of waiting time on cost-effectiveness is highly scenario-dependent.
- Substantial impacts on cost-effectiveness can occur, particularly with irreversible health loss during waiting.
Conclusions:
- Economic evaluations in systems with waiting lists should consider the effects of waiting on both costs and health outcomes.
- Incorporating waiting times enhances the relevance of economic evaluations for policy decisions.
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