Taking stock of cost-effectiveness analysis of healthcare in China

Butt, Thomas; Liu, Gordon G.; Kim, David D.; Neumann, Peter J.

doi:10.1136/bmjgh-2019-001418

Cited by 23 publications

(18 citation statements)

References 23 publications

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“…Second, the validity of existing CEAs in China that engaged the once and three times of GDP per capita cut-offs is partially supported by the current results as far as the CETs are concerned. To date, the economic evaluations conducted in the Chinese setting most frequently engaged the one and three times the GDP per capita thresholds [35]. Based on the current results, the CETs adopted by the scholarly publications are within the reasonable ranges.…”

Section: Discussionmentioning

confidence: 82%

Estimation of the cost-effective threshold of a quality-adjusted life year in China based on the value of statistical life

et al. 2021

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Cost-effective threshold (CET) is essential for health technology assessment and decision-making based on health economic evaluations. Recently, it has been argued that the commonly used once and three times of gross domestic product (GDP) per capita CETs of a quality-adjusted life year (QALY) are not necessarily empirically supported in all countries. Therefore, we aimed to estimate the CET of a QALY as times of GDP per capita in China, of which the reimbursement coverage decisions are increasingly engaging economic evaluations. Estimates on the value of statistical life (VSL) in China were identified from several studies in the literature and converted to times of GDP per capita, the weighted average of which was used for subsequent calculation. By pooling data on population mortality, health utility, and age distribution, we estimated the value of a statistical QALY (VSQ) from VSL using an established mathematical process, which represented the theoretical upper bound of CET. The corresponding point estimate and theoretical lower bound were obtained using their numerical relationships with the upper bound. Scenarios analyses were also conducted. The estimated CET, its upper bound, and its lower bound were 1.45, 2.90, and 1.16 times of GDP per capita in China, respectively. In different scenarios, the estimated CET varied but was greater than once GDP per capita in most cases. As such, the CET of a QALY in China is close to 1.5 times of GDP per capita, which should be benchmarked for future ICER-based coverage decisions.

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Section: Discussionmentioning

confidence: 82%

Estimation of the cost-effective threshold of a quality-adjusted life year in China based on the value of statistical life

et al. 2021

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“…In hospital institutions, administrators have a high interest in applying ICT in order to improve hospital efficiency and effectiveness. It has been evidenced that its use in hospitals shows superior performance, in the control of resources and their effective use [6,13,26].…”

Section: Resultsmentioning

confidence: 99%

Information and Communication Technologies as a competitive performance factor in provider institutions of medical services in Ensenada, Baja California

Pérez¹,

Torres²,

Valdés³

2021

jas

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At present, the effects of competitiveness have transcended the business environment and have become essential aspects in organizations. The health sector has not been exempt from this phenomenon, which is essential to achieve greater hospital efficiency. In this context, the use of information and communication technologies has become a new factor of competitive advantages. The objective of the research is to demonstrate that information and communication technologies constitute a competitive performance factor in health institutions, for the achievement of competitive advantages. The research has a qualitative approach, with a descriptive scope, of a retrospective type and a non-experimental, cross-sectional design. A meta-analysis was carried out, guided by a procedure for its execution. As a result, it was determined that the use of information and communication technologies, from its technological, management and social impact dimensions, constitutes a competitive performance factor in health, from its dimension of control of material resources, quality of healthcare process and patient care time. As a conclusion, it is affirmed that their use in health institutions in Ensenada, Baja California, can contribute to the achievement of competitive advantages and greater hospital efficiency.

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“… 35 The number of published cost-effectiveness analyses in China has grown rapidly over the last two decades. 36 Our study has the merits of providing an evidence-based suggestion regarding the management of patients with BAV, which has a high prevalence among the general population. 37…”

Section: Discussionmentioning

confidence: 99%

Cost effectiveness of screening for intracranial aneurysms among patients with bicuspid aortic valve: a Markov modelling study

et al. 2021

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ObjectiveBicuspid aortic valve (BAV) is common and 7.7%–9.8% of patients with BAV have intracranial aneuryms (IAs) which might lead to a devastating subarachnoid haemorrhage (SAH). We aimed to evaluate different screening and follow-up strategies using magnetic resonance angiography for IAs among patients with BAV.MethodsA decision-analytic model was built to evaluate the costs and effectiveness of different management strategies from the Chinese healthcare payer’s perspective. The evaluated strategies included natural history without screening for possible IAs, regular screening and no follow-up for detected IAs, and regular screening with regular follow-up (Screen strategy/Follow-up strategy). Base case calculation, as well as probabilistic, one-way, and two-way sensitivity analyses, were performed.ResultsAccording to the base case calculation, natural history had the least cost and effectiveness while Every 5 years (y)/Annual gained the highest cost and effectiveness. Every 10y/Biennial was cost effective when compared with Every 10y/Every 5y under the willingness-to-pay threshold of ¥211 743 (US$30 162). Probabilistic sensitivity analysis showed that Every 10y/Biennial was superior in 88.3% of the cases when compared with Every 10y/Every 5y. One-way and two-way sensitivity analyses proved that Every 10y/Biennial was the dominant strategy under most circumstances.ConclusionsScreening for possible IAs among patients with BAV and follow-up for detected IAs would increase the effectiveness. Every 10y/Biennial was the optimal strategy from the Chinese healthcare payer’s perspective.

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Taking stock of cost-effectiveness analysis of healthcare in China

Cited by 23 publications

References 23 publications

Estimation of the cost-effective threshold of a quality-adjusted life year in China based on the value of statistical life

Estimation of the cost-effective threshold of a quality-adjusted life year in China based on the value of statistical life

Information and Communication Technologies as a competitive performance factor in provider institutions of medical services in Ensenada, Baja California

Cost effectiveness of screening for intracranial aneurysms among patients with bicuspid aortic valve: a Markov modelling study

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