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Should Future Changes in Mortality Be Integrated into Cost-Effectiveness Analysis?

19 December 20230

When it comes to health economic modeling, the way we estimate patient survival is crucial for determining the cost-effectiveness of healthcare interventions. Traditionally, this has been done using general population mortality statistics to predict future survival rates. But is this approach still valid in a world where healthcare is rapidly advancing?

The Pitfalls of a Static Approach

The current method relies on static mortality rates, assuming that the rates will remain constant over time. This could lead to significant inaccuracies, especially as medical technology and treatments improve, potentially leading to better outcomes and longer life expectancies. If we fail to account for these improvements, we risk overestimating long-term mortality rates, which could skew the perceived cost-effectiveness of new healthcare interventions.

Embracing a Dynamic Approach

Lee and McNamara [2023], highlighted the importance of incorporating national mortality projections into health economic analyses. This dynamic approach is designed to adjust for expected changes in mortality rates over time, offering a more nuanced and accurate model that better reflects the potential impact of healthcare advancements.

The goals of integrating this dynamic approach into health economic modeling include:

  • Understanding Mortality Trends: By tracking how mortality rates change, we can better anticipate future healthcare needs and outcomes.
  • Valuing Interventions Precisely: A more accurate depiction of mortality evolution allows for a clearer understanding of the true value of new healthcare interventions.
  • Critical Discussions for the Future of Healthcare Allocation

This shift raises several key questions for policymakers, healthcare providers, and researchers:

  • How will this change in modeling affect the distribution of healthcare resources?
  • What are the potential challenges and opportunities that come with adopting a more progressive and predictive approach?
  • Is it time for health technology assessment bodies to start using dynamic mortality modeling to guide their decisions?

The way we answer these questions will shape the future of healthcare economics and the allocation of resources that could ultimately improve patient outcomes. It’s essential to consider these factors carefully as we strive to create a healthcare system that’s both cost-effective and capable of adapting to the ever-evolving landscape of medical advancements.

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