Five‐Hundred Life‐Saving Interventions and Their Cost‐Effectiveness

Risk Analysis - Tập 15 Số 3 - Trang 369-390 - 1995
Tammy O. Tengs1, Miriam E. Adams2, Joseph S. Pliskin3,4, Dana Gelb Safran5, Joanna E. Siegel6,7, Milton C. Weinstein6,3, John D. Graham6,3
1Center for Health Policy Research and Education, Duke University, 125 Old Chemistry Building, Box 90253, Durham, North Carolina 27708.
2Simmons College, School of Social Work, Boston, Massachusetts.
3Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts.
4Industrial Engineering and Management, Ben-Gurion University of the Negev, Israel
5The Health Institute, New England Medical Center, Boston, Massachusetts.
6Center for Risk Analysis, Harvard School of Public Health, Boston, Massachusetts.
7Maternal and Child Health, Harvard School of Public Health, Boston, Massachusetts.

Tóm tắt

We gathered information on the cost‐effectiveness of life‐saving interventions in the United States from publicly available economic analyses. “Life‐saving interventions” were defined as any behavioral and/or technological strategy that reduces the probability of premature death among a specified target population. We defined cost‐effectiveness as the net resource costs of an intervention per year of life saved. To improve the comparability of cost‐effectiveness ratios arrived at with diverse methods, we established fixed definitional goals and revised published estimates, when necessary and feasible, to meet these goals. The 587 interventions identified ranged from those that save more resources than they cost, to those costing more than 10 billion dollars per year of life saved. Overall, the median intervention costs $42,000 per life‐year saved. The median medical intervention costs $19,000/life‐year; injury reduction $48,000/life‐year; and toxin control $2,800,000/life‐year. Cost/life‐year ratios and bibliographic references for more than 500 life‐saving interventions are provided.

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Tài liệu tham khảo

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Tengs T. O., 1994, The Opportunity Costs of Haphazard Societal Investments in Life‐Saving

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Risk Analysis

Tập 15 Số 3

369-390

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