Title

Can we better prioritize resources for cost-utility research

UMMS Affiliation

Department of Quantitative Health Sciences

Publication Date

8-3-2005

Document Type

Article

Subjects

*Cost-Benefit Analysis; Disabled Persons; Health Care Costs; Health Services Research; Humans; Quality-Adjusted Life Years; *Resource Allocation

Disciplines

Biostatistics | Epidemiology | Health Services Research

Abstract

PURPOSE: We examined 512 published cost-utility analyses (CUAs) in the U.S. and other developed countries from 1976 through 2001 to determine: 1) the types of interventions studied; 2) whether they cover diseases and conditions with the highest burden; and, 3) to what extent they have covered leading health concerns defined by the Healthy People 2010 report.

DATA AND METHODS: We compared rankings of the most common diseases covered by the CUAs to rankings of U.S. disease burden. We also examined the extent to which CUAs covered key Healthy People 2010 priorities.

RESULTS: CUAs have focused mostly on pharmaceuticals (40%) and surgical procedures (16%). When compared to leading causes of DALYs, the data show overrepresentation of CUAs in cerebrovascular disease, diabetes, breast cancer, and HIV/AIDS, and underrepresentation in depression and bipolar disorder, injuries, and substance abuse disorders. Few CUAs have targeted Healthy People 2010 areas, such as physical activity.

CONCLUSIONS: Published CUAs are associated with burden measures, but have not covered certain important health problems. These discrepancies do not alone indicate that society has been targeting resources for research inefficiently, but they do suggest the need to formalize the question of where each CUA research dollar might do the most good.

Rights and Permissions

Citation: Med Decis Making. 2005 Jul-Aug;25(4):429-36. Link to article on publisher's site

Journal/Book/Conference Title

Medical decision making : an international journal of the Society for Medical Decision Making

Related Resources

Link to Article in PubMed