Erschienen in:
01.07.2014 | Editorial
NICE’s Cost-Effectiveness Range: Should it be Lowered?
verfasst von:
J. P. Raftery
Erschienen in:
PharmacoEconomics
|
Ausgabe 7/2014
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Excerpt
This question goes to the heart of the use of the cost per quality-adjusted life-year (QALY) in healthcare decision making, notably by UK agencies, including the National Institute for Health and Care Excellence (NICE), the National Screening Committee and regarding immunisation, but with implications for other health systems that use the cost per QALY. NICE has indicated the range within which its threshold lies: £20k to £30k per QALY gained [
1,
2]. The worry is that if these thresholds are too high, NICE’s recommendations could be doing more harm than good. This would happen when, say, recommending a drug on the basis of its incremental cost-effectiveness ratio (ICER) of £30k led other National Health Service (NHS) services with a low ICER being displaced. Do no harm (‘Non Nocere’) should apply to health economists as well as to doctors. …