Lisa A. Robinson|James K. Hammitt|Angela Y Chang|Stephen Resch
Understanding and improving the one and three times GDP per capita cost-effectiveness thresholds
Center for Policy Analysis|Toulouse School of Economics|Center for Policy Analysis|Harvard Global Health Institute
researchers policymakers long interested developing simple decision rules aid determining whether intervention costeffective global health interventions impose costs per disabilityadjusted life year averted less three one times gross domestic product per capita often considered costeffective costeffective respectively article explores conceptual foundation derivation thresholds goal promote understanding thresholds derived implications well suggest options improvement thresholds intended reflect monetary value benefits affected individuals based preferences spending health vs spending goods services however current values rigorously derived means application may lead inappropriate conclusions regarding interventions adopted well misallocation resources across health investments improving basis costeffectiveness thresholds particular importance low middleincome countries given limited resources available significant needs populations