Decision rules in cost-effectiveness/cost-utility analysis of healthcare programs

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150247.pdf (865.21 KB)

Issued Date

2015

Resource Type

Independent study

Language

eng

File Type

application/pdf

Rights

Sukhothai Thammathirat Open University
Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)

Suggested Citation

Udomsak Saengow (2015). Decision rules in cost-effectiveness/cost-utility analysis of healthcare programs. Retrieved from: https://hdl.handle.net/20.500.14770/4481

Title

Decision rules in cost-effectiveness/cost-utility analysis of healthcare programs

Author(s)

Udomsak Saengow

Advisor(s)

Orapan Srisawalak

Other Contributor(s)

Sukhothai Thammathirat Open University. School of Economics

Abstract

The objectives of this study were: 1) to identify alternative decision rules of threshold incremental cost-effectiveness ratio (ICER) used in cost-effectiveness/cost-utility analysis of healthcare programs and 2) to compare advantages and disadvantages of those alternatives with the threshold ICER. The research methods used were described as follows. Literatures were reviewed to identify alternative decision rules. Their advantages and disadvantages were compared with the threshold ICER including both theoretical and considerations. Experiences from countries with publicly-funded healthcare system were reviewed. Secondary data were used to compare performances of those decision rules. Major findings were presented as follows. 1) Alternative to the threshold ICER, the decision making (DM) plan should be applied under fixed budget. The modified league table should be applied under the situation where budget expansion was possible. Information from ICER was still useful and should be included in the league table. ICER was more informative as a part of league table than compared with the threshold ICER. 2) The threshold ICER had shortcomings compared to other alternatives. Current application of the threshold ICER potentially led to uncertain situations. The threshold approach could be misleading and might not ensure economic efficiency. Finally, a new framework was constructed in which policymakers must recognize their budget situation before making decision.

Degree Level

Masters Degree

Degree Discipline

School of Economics

Degree Grantor(s)

Sukhothai Thammathirat Open University

Subject(s)

Sukhothai Thammathirat Open University. School of Economics--Case studies
 Medical care--Cost effectiveness
 Medical care, Cost of
 Independent study--Economics

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URI

https://hdl.handle.net/20.500.14770/4481

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ECON: การศึกษาค้นคว้าอิสระ

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Sukhothai Thammathirat Open University
Except where otherwised noted, this item's license is described as Sukhothai Thammathirat Open University