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The European Journal of Health Economics

, Volume 15, Issue 7, pp 709–716 | Cite as

A multi-criteria decision analysis perspective on the health economic evaluation of medical interventions

  • Douwe Postmus
  • Tommi Tervonen
  • Gert van Valkenhoef
  • Hans L. Hillege
  • Erik Buskens
Original Paper

Abstract

A standard practice in health economic evaluation is to monetize health effects by assuming a certain societal willingness-to-pay per unit of health gain. Although the resulting net monetary benefit (NMB) is easy to compute, the use of a single willingness-to-pay threshold assumes expressibility of the health effects on a single non-monetary scale. To relax this assumption, this article proves that the NMB framework is a special case of the more general stochastic multi-criteria acceptability analysis (SMAA) method. Specifically, as SMAA does not restrict the number of criteria to two and also does not require the marginal rates of substitution to be constant, there are problem instances for which the use of this more general method may result in a better understanding of the trade-offs underlying the reimbursement decision-making problem. This is illustrated by applying both methods in a case study related to infertility treatment.

Keywords

Health economic evaluation Multi-criteria decision analysis Infertility treatment 

JEL Classification

C44 I18 

Notes

Acknowledgments

This research was conducted within the framework of the Center for Translational Molecular Medicine, project PREDICCt (grant 01C-104) and supported by the Dutch Heart Foundation, Dutch Diabetes Research Foundation, and Dutch Kidney Foundation.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Douwe Postmus
    • 1
  • Tommi Tervonen
    • 2
  • Gert van Valkenhoef
    • 1
  • Hans L. Hillege
    • 1
    • 3
  • Erik Buskens
    • 1
  1. 1.Department of EpidemiologyUniversity of Groningen, University Medical Center GroningenGroningenThe Netherlands
  2. 2.Econometric InstituteErasmus University RotterdamRotterdamThe Netherlands
  3. 3.Department of CardiologyUniversity of Groningen, University Medical Center GroningenGroningenThe Netherlands

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