Cost-Effectiveness Thresholds in Global Health: Taking a Multisectoral Perspective

Cost-effectiveness thresholds in global health.pdf Michelle Remme, Melisa Martinez-Alvarez, Anna Vassall Value in Health, 2017; Read full journal publication online

Good health is a function of a range of biological, environmental, behavioral, and social factors. The consumption of quality health care services is only a part of how good health is produced. Although few would argue with this, the economic framework used to allocate resources to optimise population health is applied in a way that constrains the analyst and the decision maker to health care services. As a result, lives and quality of life may be lost.

To maximise population health in general, this paper proposesĀ a second best approach to decision rules for health-producing interventions in nonhealth sectors and public health interventions with multisectoral effects. This would require the health payer to cofinance such interventions with other sectors, on the basis of its cost-effectiveness threshold. Likewise, other sectors would determine how much to contribute toward such an intervention, given the present marginal productivity of their budgets.

Further research is called for to test and validate various measurement approaches, to support the optimal allocation of resources to global multisectoral and public health interventions going forward.

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