Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/41754
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dc.contributor.authorVallejo Torres, Lauraen_US
dc.contributor.authorGarcia-Lorenzo, Borjaen_US
dc.contributor.authorSerrano-Aguilar, Pedroen_US
dc.date.accessioned2018-08-03T12:59:56Z-
dc.date.available2018-08-03T12:59:56Z-
dc.date.issued2018en_US
dc.identifier.issn1057-9230en_US
dc.identifier.urihttp://hdl.handle.net/10553/41754-
dc.description.abstractThe cost of generating a quality-adjusted life year (QALY) within a National Health Service provides an approximation of the average opportunity cost of funding decisions. This information can be used to inform a cost-effectiveness threshold. The aim of this paper is to estimate the cost per QALY at the Spanish National Health Service. We exploit variation across 17 regional health services and the exogenous changes in expenditure that took place as a consequence of the economic crisis over 5years of data. We conduct fixed effect models and use an instrumental variable approach to test for potential remaining endogeneity. Our results show that health expenditure has a positive and significant effect on population health, with an average spending elasticity of 0.07. This translates into a cost per QALY of between 22,000Euro and 25,000Euro. These values are below the cost-effectiveness threshold figure of 30,000Euro commonly cited in Spain.en_US
dc.languageengen_US
dc.relation.ispartofHealth Economicsen_US
dc.sourceHealth Economics [ISSN 1057-9230], v. 27 (4), p. 746-761en_US
dc.subject531290 Economía sectorial: turismoen_US
dc.subject.otherCost‐effectivenessen_US
dc.subject.otherHealth care spendingen_US
dc.subject.otherQALYen_US
dc.subject.otherThresholden_US
dc.titleEstimating a cost-effectiveness threshold for the Spanish NHSen_US
dc.typeinfo:eu-repo/semantics/Articlees
dc.typeArticlees
dc.identifier.doi10.1002/hec.3633
dc.identifier.scopus85039168131
dc.identifier.isi000428526300008-
dc.contributor.authorscopusid56309858100
dc.contributor.authorscopusid57170146500
dc.contributor.authorscopusid6602510866
dc.identifier.eissn1099-1050-
dc.description.lastpage761-
dc.identifier.issue4-
dc.description.firstpage746-
dc.relation.volume27-
dc.investigacionCiencias Sociales y Jurídicasen_US
dc.type2Artículoen_US
dc.contributor.daisngid2925166
dc.contributor.daisngid8907028
dc.contributor.daisngid511070
dc.contributor.wosstandardWOS:Vallejo-Torres, L
dc.contributor.wosstandardWOS:Garcia-Lorenzo, B
dc.contributor.wosstandardWOS:Serrano-Aguilar, P
dc.date.coverdateAbril 2018
dc.identifier.ulpgces
dc.description.sjr1,629
dc.description.jcr2,027
dc.description.sjrqQ1
dc.description.jcrqQ2
dc.description.scieSCIE
dc.description.ssciSSCI
item.fulltextSin texto completo-
item.grantfulltextnone-
crisitem.author.deptEconomía de la salud y políticas públicas-
crisitem.author.orcid0000-0001-5833-6066-
crisitem.author.orcid0000-0003-2891-1474-
crisitem.author.parentorgMétodos Cuantitativos en Economía y Gestión-
crisitem.author.fullNameVallejo Torres, Laura-
crisitem.author.fullNameCamacho Rodríguez, María De Los Ángeles-
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