TY - JOUR
T1 - Use of Cost-Effectiveness Thresholds in Healthcare Public Policy
T2 - Progress and Challenges
AU - Espinosa, Oscar
AU - Rodríguez-Lesmes, Paul
AU - Romano, Giancarlo
AU - Orozco, Esteban
AU - Basto, Sergio
AU - Ávila, Diego
AU - Mesa, Lorena
AU - Enríquez, Hernán
N1 - Publisher Copyright:
© The Author(s) 2024.
PY - 2024
Y1 - 2024
N2 - The article offers a comparative analysis of the influence of cost-effectiveness thresholds in the decision-making processes in financing policies, coverage, and price regulation of health technologies in nine countries. We investigated whether countries used cost-effectiveness thresholds for public health policy decision making and found that few countries have adopted the cost-effectiveness threshold as an official criterion for financing, reimbursement, or pricing. However, in countries where it is applied, such as Thailand, the results have been very favorable in terms of minimizing health technology prices and ensuring the financial sustainability of the health system. Although the cost-effectiveness threshold has opportunities for improvement, particularly in certain institutional contexts and with adequate participation of the different strategic actors in the formulation of public policy, its potential use and added value are significant in various aspects.
AB - The article offers a comparative analysis of the influence of cost-effectiveness thresholds in the decision-making processes in financing policies, coverage, and price regulation of health technologies in nine countries. We investigated whether countries used cost-effectiveness thresholds for public health policy decision making and found that few countries have adopted the cost-effectiveness threshold as an official criterion for financing, reimbursement, or pricing. However, in countries where it is applied, such as Thailand, the results have been very favorable in terms of minimizing health technology prices and ensuring the financial sustainability of the health system. Although the cost-effectiveness threshold has opportunities for improvement, particularly in certain institutional contexts and with adequate participation of the different strategic actors in the formulation of public policy, its potential use and added value are significant in various aspects.
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U2 - 10.1007/s40258-024-00900-5
DO - 10.1007/s40258-024-00900-5
M3 - Review article
C2 - 38995492
AN - SCOPUS:85198348956
SN - 1175-5652
JO - Applied Health Economics and Health Policy
JF - Applied Health Economics and Health Policy
ER -