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  • 标题:Does productivity influence priority setting? A case study from the field of CVD prevention
  • 本地全文:下载
  • 作者:Lars Lindholm ; Emil Löfroth ; Måns Rosén
  • 期刊名称:Cost Effectiveness and Resource Allocation
  • 印刷版ISSN:1478-7547
  • 电子版ISSN:1478-7547
  • 出版年度:2008
  • 卷号:6
  • 期号:1
  • 页码:6
  • DOI:10.1186/1478-7547-6-6
  • 语种:English
  • 出版社:BioMed Central
  • 摘要:In this case study, different measures aimed at preventing cardiovascular diseases (CVD) in different target groups have been ranked based on cost per QALY from a health care sector perspective and from a societal perspective, respectively. The innovation in this study is to introduce a budget constraint and thereby show exactly which groups would be included or excluded in treatment or intervention programs based on the two perspectives. Approximately 90% of the groups are included in both perspectives. Mainly elderly women are excluded when the societal perspective is used and mainly middle-aged men are excluded when the health care sector perspective is used. Elderly women have a higher risk of CVD and generally lower income than middle-aged men. Thus the exclusion of older women in the societal perspective is not a trivial consequence since it is in conflict with the general interpretation of the
  • 关键词:Smoking Cessation ; Societal Perspective ; Productivity Change ; Health Gain ; Risk Factor Level
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