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Cost Per Daly Averted in Low, Middle and High Income Countries: Evidence from Global Burden of Disease Study to Estimate the Cost Effectiveness Thresholds

16 Pages Posted: 18 Jul 2019

See all articles by Rajabali Daroudi

Rajabali Daroudi

Tehran University of Medical Sciences

Ahmad Faramarzi

Tehran University of Medical Sciences

Ali Akbari Sari

Tehran University of Medical Sciences

Azin Nahvijou

Tehran University of Medical Sciences

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Abstract

Background: Determining the cost-effectiveness thresholds for healthcare interventions has been an important challenge for policymakers, especially in low and middle income countries. The aim of this study was to estimate the cost per DALY averted for countries with different level of Health Development Index (HDI) and Gross Domestic Product (GDP).

Methods: The data about disability-adjusted life-years (DALYs), per capita health expenditure (HE), HDI, and GDP per capita were extracted for 176 countries during the years 2000 to 2016. Panel regression analysis was performed to explore the correlation between DALY and HE per capita. The results of the regression models were used to calculate the cost per DALY averted for each country.

Findings: ASR DALY (DALY per 100,000 population) had a non-linear inverse correlation with HE per capita, and a linear inverse correlation with HDI. One percent increase in HE per capita was associated with an average of 0.28, 0.24, 0.18 and 0.27 percent decrease in the ASR DALY in low HDI, medium HDI, high HDI and very high HDI countries respectively. The estimated cost per DALY averted was $998, $6,522, $23,782, and $69,499 in low HDI, medium HDI, high HDI and very high HDI countries respectively.

Interpretation: This study suggests that the cost-effectiveness thresholds for healthcare interventions might be less than a GDP per capita in low and medium HDI countries and between one and two GDP per capita in high and very high HDI countries.

Funding Statement: The authors stated "There is no funding."

Declaration of Interests: The authors declare no competing interests.

Ethics Approval Statement: Not Required.

Keywords: DALY, HDI, GDP per capita, Health expenditure

Suggested Citation

Daroudi, Rajabali and Faramarzi, Ahmad and Akbari Sari, Ali and Nahvijou, Azin, Cost Per Daly Averted in Low, Middle and High Income Countries: Evidence from Global Burden of Disease Study to Estimate the Cost Effectiveness Thresholds (July 14, 2019). Available at SSRN: https://ssrn.com/abstract=3420403 or http://dx.doi.org/10.2139/ssrn.3420403

Rajabali Daroudi (Contact Author)

Tehran University of Medical Sciences ( email )

Number 21, Dameshg St.
Vali-e Asr Ave.
Tehran, 14195
Iran

Ahmad Faramarzi

Tehran University of Medical Sciences

Number 21, Dameshg St.
Vali-e Asr Ave.
Tehran, 14195
Iran

Ali Akbari Sari

Tehran University of Medical Sciences ( email )

Number 21, Dameshg St.
Vali-e Asr Ave.
Tehran, 14195
Iran

HOME PAGE: http://ijhpm.kmu.ac.ir

Azin Nahvijou

Tehran University of Medical Sciences ( email )

Number 21, Dameshg St.
Vali-e Asr Ave.
Tehran, 14195
Iran

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