Departures from Cost-Effectiveness Recommendations: Health System Constraints
2016
Cost-effectiveness analysis assumes a single constraint, in the form of the budget constraint, whereas in reality decision makers may be faced with numerous other constraints. The objective of this article is to develop a typology of constraints that may act as barriers to implementation of cost-effectiveness recommendations.
Six categories of constraints are considered: the design of the health system; costs of implementing change; system interactions between interventions; uncertainty in estimates of costs and benefits; weak governance; and political constraints. Where possible-and if applicable-for each class of constraint, the article discusses ways in which these constraints can be taken into account by a decision maker wishing to pursue the principles of cost-effectiveness.
Departures from Cost-Effectiveness Recommendations: Health System Constraints
Source:
Hauck K, Thomas R, Smith PC. Departures from Cost-Effectiveness Recommendations: The Impact of Health System Constraints on Priority Setting. Health Systems & Reform 2016; 2 (1): 61-70. http://dx.doi.org/10.1080/23288604.2015.1124170