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Comments on “Simoens, S. Health Economic Assessment: A Methodological Primer. Int. J. Environ. Res. Public Health 2009, 6, 2950-2966”—New Zealand in Fact Has No Cost-Effectiveness Threshold
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Reply of Int. J. Environ. Res. Public Health 2010, 7(4), 1831-1834.

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Int. J. Environ. Res. Public Health 2010, 7(4), 1835-1840; doi:10.3390/ijerph7041835

Health Economic Assessment: Cost-Effectiveness Thresholds and Other Decision Criteria

Research Centre for Pharmaceutical Care and Pharmaco-economics, Faculty of Pharmaceutical Sciences, Katholieke Universiteit Leuven. Onderwijs en Navorsing 2, P.O. Box 521, Herestraat 49, 3000 Leuven, Belgium
Received: 2 April 2010 / Accepted: 13 April 2010 / Published: 20 April 2010
(This article belongs to the Special Issue Health Economics)
View Full-Text   |   Download PDF [88 KB, uploaded 19 June 2014]

Abstract

An article published in this Journal argued that New Zealand does not apply a cost-effectiveness threshold because medicines are funded within a fixed budget and because cost-effectiveness is only one of nine criteria that inform decisions. This Comment has explained that, from a theoretical perspective, the cost-effectiveness threshold model is not inconsistent with these two arguments. The observed annual variation in incremental cost-effectiveness ratios in New Zealand may originate from yearly differences in new medicines that request reimbursement and in the budget size, and from the fact that decision makers take into account other decision criteria in addition to cost-effectiveness. View Full-Text
Keywords: health economics; economic evaluation; cost-effectiveness; cost-effectiveness threshold; opportunity cost; decision criteria; multi-criteria decision analysis health economics; economic evaluation; cost-effectiveness; cost-effectiveness threshold; opportunity cost; decision criteria; multi-criteria decision analysis
This is an open access article distributed under the Creative Commons Attribution License (CC BY 3.0).

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Simoens, S. Health Economic Assessment: Cost-Effectiveness Thresholds and Other Decision Criteria. Int. J. Environ. Res. Public Health 2010, 7, 1835-1840.

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