{"id":6718,"date":"2015-09-21T07:28:03","date_gmt":"2015-09-21T07:28:03","guid":{"rendered":"https:\/\/10.41.207.120\/post_training\/cost-effectiveness-thresholds-in-health-care-a-bookshelf-guide-to-their-meaning-and-use\/"},"modified":"2015-09-21T07:28:03","modified_gmt":"2015-09-21T07:28:03","slug":"cost-effectiveness-thresholds-in-health-care-a-bookshelf-guide-to-their-meaning-and-use","status":"publish","type":"post_training","link":"https:\/\/ipsr.mahidol.ac.th\/en\/post_training\/cost-effectiveness-thresholds-in-health-care-a-bookshelf-guide-to-their-meaning-and-use\/","title":{"rendered":"Cost-effectiveness thresholds in health care: a bookshelf   guide to their meaning and use"},"content":{"rendered":"<h3>\n\tABSTRACT<\/h3>\n<div style=\"text-align: justify;\">\n\tThere is misunderstanding about both the meaning and the role of cost-effectiveness thresholds in policy decision making. This article dissects the main issues by use of a bookshelf metaphor. Its main conclusions are these: mere effectiveness is not a persuasive case for inclusion in public insurance plans; a &lsquo;first best&rsquo; benchmark or threshold ratio of health gain to expenditure identifies the least effective intervention that should be included in a public insurance plan; setting thresholds too high or too low costs lives; the threshold cannot be set independently of the health budget; the threshold can be approached from either the demand-side or the supply side &ndash; the two are equivalent only in a health-maximising equilibrium; the supply-side approach generates an estimate of a &lsquo;second best&rsquo; cost-effectiveness threshold that is higher than the &lsquo;first best&rsquo;; the second best threshold is the one generally to be preferred in decisions about adding or subtracting interventions in an established public insurance package; multiple thresholds are implied by systems having distinct and separable health budgets; disinvestment involves eliminating effective technologies from the insured bundle.<\/div>\n<div>\n\t&nbsp;<\/div>\n<div>\n\t<strong>Moderator: &nbsp;Prof. Dr.Chai Podhisita<\/strong><\/div>\n<p>September 23, 2015 Time: 12:30 \u2013 13:30 hrs.   Room Srabua 109<\/p>\n","protected":false},"featured_media":0,"template":"","tags":[],"training_language":[188],"training_type":[309],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.10 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Cost-effectiveness thresholds in health care: a bookshelf  guide to their meaning and use - \u0e2a\u0e16\u0e32\u0e1a\u0e31\u0e19\u0e27\u0e34\u0e08\u0e31\u0e22\u0e1b\u0e23\u0e30\u0e0a\u0e32\u0e01\u0e23\u0e41\u0e25\u0e30\u0e2a\u0e31\u0e07\u0e04\u0e21 \u0e21\u0e2b\u0e32\u0e27\u0e34\u0e17\u0e22\u0e32\u0e25\u0e31\u0e22\u0e21\u0e2b\u0e34\u0e14\u0e25<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ipsr.mahidol.ac.th\/en\/post_training\/cost-effectiveness-thresholds-in-health-care-a-bookshelf-guide-to-their-meaning-and-use\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cost-effectiveness thresholds in health care: a bookshelf  guide to their meaning and use - \u0e2a\u0e16\u0e32\u0e1a\u0e31\u0e19\u0e27\u0e34\u0e08\u0e31\u0e22\u0e1b\u0e23\u0e30\u0e0a\u0e32\u0e01\u0e23\u0e41\u0e25\u0e30\u0e2a\u0e31\u0e07\u0e04\u0e21 \u0e21\u0e2b\u0e32\u0e27\u0e34\u0e17\u0e22\u0e32\u0e25\u0e31\u0e22\u0e21\u0e2b\u0e34\u0e14\u0e25\" \/>\n<meta property=\"og:description\" content=\"ABSTRACT There is misunderstanding about both the meaning and the role of cost-effectiveness thresholds in policy decision making. This article dissects the main issues by use of a bookshelf metaphor. Its main conclusions are these: mere effectiveness is not a persuasive case for inclusion in public insurance plans; a &lsquo;first best&rsquo; benchmark or threshold ratio [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ipsr.mahidol.ac.th\/en\/post_training\/cost-effectiveness-thresholds-in-health-care-a-bookshelf-guide-to-their-meaning-and-use\/\" \/>\n<meta property=\"og:site_name\" content=\"\u0e2a\u0e16\u0e32\u0e1a\u0e31\u0e19\u0e27\u0e34\u0e08\u0e31\u0e22\u0e1b\u0e23\u0e30\u0e0a\u0e32\u0e01\u0e23\u0e41\u0e25\u0e30\u0e2a\u0e31\u0e07\u0e04\u0e21 \u0e21\u0e2b\u0e32\u0e27\u0e34\u0e17\u0e22\u0e32\u0e25\u0e31\u0e22\u0e21\u0e2b\u0e34\u0e14\u0e25\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/ipsr.mahidol.ac.th\/en\/post_training\/cost-effectiveness-thresholds-in-health-care-a-bookshelf-guide-to-their-meaning-and-use\/\",\"url\":\"https:\/\/ipsr.mahidol.ac.th\/en\/post_training\/cost-effectiveness-thresholds-in-health-care-a-bookshelf-guide-to-their-meaning-and-use\/\",\"name\":\"Cost-effectiveness thresholds in health care: a bookshelf guide to their meaning and use - 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