Framework for determining the optimal course of action when efficiency and affordability measures differ by perspective in cost-effectiveness analysis-with an illustrative case of HIV treatment in Mozambique.

ABSTRACT:

Background

Cost-effectiveness analysis (CEA) is a standard tool for evaluating health programs and informing decisions about resource allocation and prioritization. Most CEAs evaluating health interventions in low- and middle-income countries adopt a health sector perspective, accounting for resources funded by international donors and country governments, while often excluding out-of-pocket expenditures and time costs borne by program beneficiaries. Even when patients' costs are included, a companion analysis focused on the patient perspective is rarely performed. We view this as a missed opportunity.

Methods

We developed methods for assessing intervention affordability and evaluating whether optimal interventions from the health sector perspective also represent efficient

SUBMITTER: Corlis J 

PROVIDER: S-EPMC10498553 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature