Determination of Cost-Effectiveness Threshold for Health Care Interventions in Malaysia

Lim, Yi Wee; Shafie, Asrul Akmal; Chua, Gin Nie; Hassali, M.A.

doi:10.1016/j.jval.2017.04.002

Cited by 34 publications

(52 citation statements)

References 23 publications

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“…The varied intervention effectiveness served as a validity test to confirm whether people understood the attributes of the health intervention, as one of the most documented challenges with performing CV studies is ensuring that respondents understand the quantitative portion of the survey. 15 , 21 , 22 , 23 Varying effectiveness while holding other attributes constant allows us to test whether individuals understand what they are paying for.…”

Section: Methodsmentioning

confidence: 99%

Contingent Valuation: A Pilot Study for Eliciting Willingness to Pay for a Reduction in Mortality From Vaccine-Preventable Illnesses for Children and Adults in Bangladesh

Odihi

Broucker

Hasan

et al. 2021

Value in Health Regional Issues

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Objectives The contingent valuation (CV) method elicits willingness to pay (WTP) for calculating the value of statistical life (VSL). CV approaches for assessing VSL are uncommon in many low and middle-income countries (LMICs). Between 2008 and 2018 only 44 articles utilized WTP in a health-related field and of these only 5 (11%) utilized CV to assess the WTP for a mortality risk reduction. We elicit WTP estimates and compute VSL using the CV method in Bangladesh. Methods The pilot study was primarily aimed at developing best practice guidelines for CV studies in LMICs to get more robust WTP estimates. To this end, we explored three methodological a) Varying the name of the intervention, keeping all other characteristics constant; b) varying the effectiveness of the health intervention and c) offering an overnight period to think about the WTP scenario. The survey was administered 413 randomly selected participants. VSL was for a 1/3000 mortality risk reduction. Results We had more males (54%) than females (46%) and the mean annual self-reported income was $5,683.36. Mean VSL is $11,339.70 with a median of $10,413. The ratio of child: adult WTP is approximately 1 by both gender and age category. The vaccine intervention had the largest amount of $0 WTP and protest responses (52% and 58% respectively). 93% of the participants were able to describe (teach-back) the vaccine effectiveness using their own family as an example. Conclusion Our study provides empirical evidence on how to better generate CV surveys to produce more robust WTP estimates.

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Section: Methodsmentioning

confidence: 99%

Contingent Valuation: A Pilot Study for Eliciting Willingness to Pay for a Reduction in Mortality From Vaccine-Preventable Illnesses for Children and Adults in Bangladesh

Odihi

Broucker

Hasan

et al. 2021

Value in Health Regional Issues

View full text Add to dashboard Cite

show abstract

“…The insuf iciency of an empirical reimbursement threshold in Malaysia could have a consequential reaction on the clarity of healthcare decisions. The estimated CE limit for Malaysia was below the recommended threshold of the World Healthcare centers or healthcare establishments (Lim et al, 2017). Theoretical modal for integrated mms…”

Section: Challenges For Implementation Of Mms In Malaysiamentioning

confidence: 90%

Integrated medicine management system for malaysian healthcare sector

Alamdar

Mathews

Kaur

et al. 2019

ijrps

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Medicine management is an approach supported by evidence to prescribe and manage the patient’s medicines to protect the safety, tolerability, and potency of the medication. It helps practitioners to achieve the optimum use of medicines for a patient, optimizes the treatment benefits and accomplishes the best results for each patient. The three components of the Medicine Management System (MMS), which are Electronic Health Record (EHR), e-prescription, and Clinical Decision Support System (CDSS) are vastly used. Despite the values of MMS, only 15.2% of public hospitals in Malaysia utilize the system using different features. This paper reviewed the components of the current MMS, the utilization and challenges of MMS implementation in the Malaysian context, and proposed a new integrated MMS. The proposed MMS is grounded on three theories, namely System Theory, Utilization Theory, and Evidence-Based Theory. The main aspects of the integrated MMS are e-prescription, appropriateness of dosage regimen, covering best current evidence, show alerts of any medicine-related issues, and centralization of patient data that will be designed for all healthcare centers. If any issues arise in the prescribed medicine, an alert will be supported by the current foremost evidence that shows on the prescriber’s system. However, if no issue is detected, the prescription will be saved in the patient’s record and will show on the pharmacy system with direction and cautions related to the medicines. The proposed MMS is postulated to increase the productivity of the healthcare system by reducing medicine-related issues, improve communication among healthcare professionals, enhance patient health, and enhance practitioner operations.

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“…The ICER was calculated by dividing the difference in cost between the intervention group and the control group with the difference in their effectiveness. An estimated ICER threshold for Malaysia of RM19,929 to RM28,470 (USD4700.24 -6714.62) was used as a reference [22]. A treatment option is considered cost-effective if the ICER per additional severe exacerbation avoided was below RM28,470 (USD6714.62).…”

Section: Intermediate Cost-effectiveness Analysismentioning

confidence: 99%

“…Where a standard error or confidence intervals were not published for variables, ±30%-50% from the base case values were explored. The ICER value was compared with the ICER threshold from Lim et al study, ranging between RM19,929 (USD4700.24) to RM28,470 (USD6714.62) [22]. The variables that had the most influence on the model were determined as well (Figure 3).…”

Section: Accepted Manuscript Sensitivity Analysismentioning

confidence: 99%

Economic evaluation of home medication review by community pharmacists (HMR-CP) for patients with type 2 diabetes mellitus (T2DM)

Rosli

Neoh

et al. 2021

Journal of Medical Economics

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Determination of Cost-Effectiveness Threshold for Health Care Interventions in Malaysia

Abstract: These findings suggest that there is no single WTP value for a quality-adjusted life-year. The CE threshold estimated for Malaysia was found to be lower than the threshold value recommended by the World Health Organization.

Cited by 34 publications

References 23 publications

Contingent Valuation: A Pilot Study for Eliciting Willingness to Pay for a Reduction in Mortality From Vaccine-Preventable Illnesses for Children and Adults in Bangladesh

Contingent Valuation: A Pilot Study for Eliciting Willingness to Pay for a Reduction in Mortality From Vaccine-Preventable Illnesses for Children and Adults in Bangladesh

Integrated medicine management system for malaysian healthcare sector

Economic evaluation of home medication review by community pharmacists (HMR-CP) for patients with type 2 diabetes mellitus (T2DM)

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