Generalised Cost-Effectiveness Of Public Health Interventions
There are likely to be fewer controlled trials of public health programmes due to the very large sample size required to power pragmatic trials of public health interventions adequately.
Although NICE have not explicitly recommended an ICER above which public health interventions should not be recommended and below which they should, in general, interventions with an ICER of less than £20,000 per QALY gained are considered cost-effective.
The World Health Organisation who advocate use of a generalised cost-effectiveness analysis approach, where the comparator is "Doing nothing", as opposed to the "Usual care" allowing decision makers to see what could be achieved if all health care resources were re-allocated.
Observations of key commentators
Although NICE have not explicitly recommended an ICER above which public health interventions should not be recommended and below which they should, in general, interventions with an ICER of less than £20,000 per QALY gained are considered cost-effective.
The World Health Organisation who advocate use of a generalised cost-effectiveness analysis approach, where the comparator is "Doing nothing", as opposed to the "Usual care" allowing decision makers to see what could be achieved if all health care resources were re-allocated.
Observations of key commentators