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The European Journal of Health Economics
Erschienen in: The European Journal of Health Economics 2/2019

05.09.2018 | Editorial

When is it too expensive? Cost-effectiveness thresholds and health care decision-making

verfasst von: Werner Brouwer, Pieter van Baal, Job van Exel, Matthijs Versteegh

Erschienen in: The European Journal of Health Economics | Ausgabe 2/2019

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Excerpt

The pressure on both tax and insurance-based health care budgets has been high for many years. On the demand side, pressure is increased by an aging population and higher living standards which raise expectations regarding medical services. On the supply side, expensive new health technologies offer new treatment opportunities for patients but often at a (very) high price. Since these high prices are not necessarily a reflection of large health gains, politicians, academics and society need to answer the question when such technologies are ‘too expensive’. When is it justified to not reimburse or use such technologies, effectively limiting supply in collectively financed health care systems? Surely, such a question is not easily answered and draws in subsets of questions from different disciplines, including clinical and ethical angles. …
Fußnoten
1
This does not imply that the same people are willing to pay the premium increases that logically follow from this viewpoint.
 
2
For simplicity focused on technologies with only current costs and benefits.
 
3
Note that the choice for a particular decision rule also has consequences for other methodological choices, e.g. discount rates [11, 3].
 
4
This means the proportion of health lost due to the disease the intervention is targeted at.
 
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Metadaten
Titel
When is it too expensive? Cost-effectiveness thresholds and health care decision-making
verfasst von
Werner Brouwer
Pieter van Baal
Job van Exel
Matthijs Versteegh
Publikationsdatum
05.09.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
The European Journal of Health Economics / Ausgabe 2/2019
Print ISSN: 1618-7598
Elektronische ISSN: 1618-7601
DOI
https://doi.org/10.1007/s10198-018-1000-4

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