Buchumschlag

The value of a statistical life-year in sub-Saharan Africa: evidence from a large population-based survey in Tanzania

Background - The value of a statistical life-year (VSLY) is the central number for the economic allocation of health resources. Nevertheless, empirical data on VSLY are lacking for most low- and middle- income countries. In the absence of empirically established VSLY, researchers typically use an ar...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Hauptverfasser: Patenaude, Bryan N. (VerfasserIn) , Bärnighausen, Till (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 5 September 2019
In: Value in health regional issues
Year: 2019, Jahrgang: 19, Pages: 151-156
ISSN:2212-1102
DOI:10.1016/j.vhri.2019.07.009
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.vhri.2019.07.009
Verlag, lizenzpflichtig, Volltext: http://www.sciencedirect.com/science/article/pii/S2212109919300950
Volltext
Verfasserangaben:Bryan N. Patenaude, Innocent Semali, Japhet Killewo, Till Bärnighausen

MARC

LEADER 00000caa a22000002c 4500
001 169411211X
003 DE-627
005 20220818031741.0
007 cr uuu---uuuuu
008 200406s2019 xx |||||o 00| ||eng c
024 7 |a 10.1016/j.vhri.2019.07.009  |2 doi 
035 |a (DE-627)169411211X 
035 |a (DE-599)KXP169411211X 
035 |a (OCoLC)1341313852 
040 |a DE-627  |b ger  |c DE-627  |e rda 
041 |a eng 
084 |a 33  |2 sdnb 
100 1 |a Patenaude, Bryan N.  |e VerfasserIn  |0 (DE-588)1161835865  |0 (DE-627)1025294890  |0 (DE-576)506923584  |4 aut 
245 1 4 |a The value of a statistical life-year in sub-Saharan Africa  |b evidence from a large population-based survey in Tanzania  |c Bryan N. Patenaude, Innocent Semali, Japhet Killewo, Till Bärnighausen 
264 1 |c 5 September 2019 
300 |a 6 
336 |a Text  |b txt  |2 rdacontent 
337 |a Computermedien  |b c  |2 rdamedia 
338 |a Online-Ressource  |b cr  |2 rdacarrier 
500 |a Gesehen am 06.04.2020 
520 |a Background - The value of a statistical life-year (VSLY) is the central number for the economic allocation of health resources. Nevertheless, empirical data on VSLY are lacking for most low- and middle- income countries. In the absence of empirically established VSLY, researchers typically use an arbitrary 3-times multiple of per-capita gross domestic product or per-capita income per life-year saved to establish cost-effectiveness. - Objective - In this study, we establish an empirical VSLY for the first time for a community in sub-Saharan Africa. - Methods - To empirically establish VSLY, we randomly selected 4000 individuals in the Ukonga community of Tanzania and employed a contingent valuation survey to measure VSLY. Using the contingent valuation methodology, we elicited willingness to pay for a 2% mortality risk reduction and had individuals convert this into an annualized payment to be paid each year over their expected remaining life. - Results - We compared our elicited value to per-capita income and found that mean VSLY is $9340 (95% CI $6206-$12 373). The mean annual income in our sample was $2069, resulting in a VSLY that is equivalent to 4.5 times per-capita income. - Conclusion - Our results provide empirical evidence to support moving away from using the World Health Organization cost-effectiveness thresholds in practice because they will likely result in inefficient underinvestment in cost-effective interventions, even in relatively poor samples. 
650 4 |a cost-effectiveness 
650 4 |a economic evaluation 
650 4 |a health policy 
650 4 |a public health 
650 4 |a stated preference 
700 1 |a Bärnighausen, Till  |d 1969-  |e VerfasserIn  |0 (DE-588)120262029  |0 (DE-627)080560512  |0 (DE-576)178470848  |4 aut 
773 0 8 |i Enthalten in  |t Value in health regional issues  |d Amsterdam [u.a.] : Elsevier, 2012  |g 19(2019), Seite 151-156  |h Online-Ressource  |w (DE-627)722236549  |w (DE-600)2677520-7  |w (DE-576)370706188  |x 2212-1102  |7 nnas  |a The value of a statistical life-year in sub-Saharan Africa evidence from a large population-based survey in Tanzania 
773 1 8 |g volume:19  |g year:2019  |g pages:151-156  |g extent:6  |a The value of a statistical life-year in sub-Saharan Africa evidence from a large population-based survey in Tanzania 
856 4 0 |u https://doi.org/10.1016/j.vhri.2019.07.009  |x Verlag  |x Resolving-System  |z lizenzpflichtig  |3 Volltext 
856 4 0 |u http://www.sciencedirect.com/science/article/pii/S2212109919300950  |x Verlag  |z lizenzpflichtig  |3 Volltext 
951 |a AR 
992 |a 20200406 
993 |a Article 
994 |a 2019 
998 |g 120262029  |a Bärnighausen, Till  |m 120262029:Bärnighausen, Till  |d 910000  |d 912800  |e 910000PB120262029  |e 912800PB120262029  |k 0/910000/  |k 1/910000/912800/  |p 4  |y j 
999 |a KXP-PPN169411211X  |e 3618867344 
BIB |a Y 
SER |a journal 
JSO |a {"note":["Gesehen am 06.04.2020"],"relHost":[{"id":{"issn":["2212-1102"],"zdb":["2677520-7"],"eki":["722236549"]},"part":{"volume":"19","text":"19(2019), Seite 151-156","pages":"151-156","extent":"6","year":"2019"},"physDesc":[{"extent":"Online-Ressource"}],"note":["Gesehen am 20.03.25"],"origin":[{"publisherPlace":"Amsterdam [u.a.]","dateIssuedKey":"2012","dateIssuedDisp":"2012-","publisher":"Elsevier"}],"name":{"displayForm":["International Society for Pharmacoeconomics and Outcomes Research"]},"title":[{"title_sort":"Value in health regional issues","title":"Value in health regional issues"}],"pubHistory":["1.2012 -"],"type":{"bibl":"periodical","media":"Online-Ressource"},"recId":"722236549","disp":"The value of a statistical life-year in sub-Saharan Africa evidence from a large population-based survey in TanzaniaValue in health regional issues","titleAlt":[{"title":"ViHRI"}],"language":["eng"]}],"id":{"doi":["10.1016/j.vhri.2019.07.009"],"eki":["169411211X"]},"type":{"media":"Online-Ressource","bibl":"article-journal"},"physDesc":[{"extent":"6 S."}],"title":[{"subtitle":"evidence from a large population-based survey in Tanzania","title_sort":"value of a statistical life-year in sub-Saharan Africa","title":"The value of a statistical life-year in sub-Saharan Africa"}],"language":["eng"],"origin":[{"dateIssuedDisp":"5 September 2019","dateIssuedKey":"2019"}],"name":{"displayForm":["Bryan N. Patenaude, Innocent Semali, Japhet Killewo, Till Bärnighausen"]},"recId":"169411211X","person":[{"role":"aut","display":"Patenaude, Bryan N.","given":"Bryan N.","family":"Patenaude"},{"role":"aut","display":"Bärnighausen, Till","given":"Till","family":"Bärnighausen"}]} 
SRT |a PATENAUDEBVALUEOFAST5201 

Ähnliche Einträge