Abstract
While this text attempts to provide a thorough guide for how to perform ROI analyses, some topics are beyond its scope. Some preliminary examinations of a few of these topics are explored in this chapter. These are presented in no particular order and represent issues ranging from current health policy to analytic concepts that may be either computationally complex or somewhat ancillary to the efforts required to perform most ROI analyses. Hopefully, the topics presented in this chapter will provide some additional insight, although by no means should this information be considered to exhaust the aspects of each issue.
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Notes
- 1.
Some publications use the term “disability-adjusted life year” (DALY), where the disability is a decrement from perfect health, to arrive at essentially the same quantity as a QALY.
- 2.
In a situation where extending life requires invasive treatment or results in poorer quality of life, the difference in QALYs may be smaller than the difference in LYs: Even though life was extended, quality of life diminished. This is often the argument against aggressive treatment at the end of life: Any minimal extension in life lived may be accompanied by worse quality than if the individual was allowed to live out their remaining life at home or a preferred setting.
References
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National Institutes of Health Fogarty International Center (2019) Implementation science news, resources and funding for global health researchers. NIH. https://www.fic.nih.gov/ResearchTopics/Pages/ImplementationScience.aspx. Accessed 3 Jan 2020
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Solid, C.A. (2020). Expanded Topics in ROI. In: Return on Investment for Healthcare Quality Improvement. Springer, Cham. https://doi.org/10.1007/978-3-030-46478-3_9
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DOI: https://doi.org/10.1007/978-3-030-46478-3_9
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