RESUMO
In a study designed to compare the cost-effectiveness of three cardiovascular disease prevention programmes, subject to a defined budget, a population was subgrouped according to risk levels. Cost per year of life saved and annual budget expenditure were calculated for each subgroup. Budget expenditure was defined in terms of current direct costs. A ranked list was constructed, and the cut-off level of 'acceptable' cost-effectiveness elicited.
Assuntos
Doenças Cardiovasculares/prevenção & controle , Análise Custo-Benefício , Alocação de Recursos para a Atenção à Saúde , Recursos em Saúde , Serviços Preventivos de Saúde/economia , Adulto , Idoso , Anticolesterolemiantes/administração & dosagem , Anticolesterolemiantes/economia , Custos de Medicamentos , Feminino , Guias como Assunto , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Econômicos , Fatores de Risco , SuéciaRESUMO
The aim of the study was to undertake cost-effectiveness calculations subject to a defined budget. The setting chosen was the prevention of cardiovascular disease (CVD) by means of three intervention programmes in a Swedish county council. The population in the county was divided into subgroups according to risk level. For each subgroup the cost per years of life saved was calculated, as well as the annual budget claims. The budget available was defined as present direct cost in the programmes. The calculations resulted in a programming solution showing the optimal distribution of resources between the programmes. Also a league table was constructed and the cut-off value for a 'acceptable' cost-effectiveness was shown. The conclusion that can be drawn is that a combination of internationally published intervention results and local data regarding epidemiology and resource improves the accuracy and usefulness of cost-effectiveness ratios. However, the model presented is a first attempt containing only three interventions: the planned next phase is to integrate more interventions in the model.