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Five-hundred life-saving interventions and their cost-effectiveness

T O Tengs1, M E Adams, J S Pliskin

  • 1Center for Health Policy Research and Education, Duke University, Durham, North Carolina 27708, USA.

Risk Analysis : an Official Publication of the Society for Risk Analysis
|June 1, 1995
PubMed
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The median cost for life-saving interventions in the U.S. is $42,000 per life-year saved. Medical interventions are more cost-effective than injury reduction or toxin control strategies.

Area of Science:

  • Health Economics
  • Public Health Policy
  • Preventive Medicine

Background:

  • Assessing the economic value of health interventions is crucial for resource allocation.
  • Previous analyses of life-saving interventions often lack standardized cost-effectiveness metrics.
  • A comprehensive understanding of cost-effectiveness across diverse interventions is needed.

Purpose of the Study:

  • To systematically evaluate and standardize the cost-effectiveness of life-saving interventions in the United States.
  • To provide a comparable metric (cost per life-year saved) for a wide range of health and safety strategies.
  • To identify variations in cost-effectiveness across different categories of interventions.

Main Methods:

  • Systematic review of publicly available economic analyses of life-saving interventions in the U.S.

Related Experiment Videos

  • Standardization of cost-effectiveness ratios to a common metric: net resource costs per year of life saved.
  • Inclusion of 587 distinct behavioral and technological interventions.
  • Main Results:

    • The median cost-effectiveness ratio for all interventions was $42,000 per life-year saved.
    • Median costs varied significantly by category: medical interventions ($19,000/life-year), injury reduction ($48,000/life-year), and toxin control ($2,800,000/life-year).
    • Intervention costs ranged from cost-saving to over $10 billion per life-year saved.

    Conclusions:

    • Significant variation exists in the cost-effectiveness of life-saving interventions, highlighting opportunities for optimizing public health spending.
    • Medical interventions generally demonstrate higher cost-effectiveness compared to injury and toxin control measures.
    • Standardized cost-effectiveness data can inform policy decisions and improve resource allocation for maximizing population health gains.