Health Economics Letter
PRIORITY SETTING IN GLOBAL HEALTH: TOWARDS A MINIMUM DALY VALUE
Article first published online: 9 APR 2013
Copyright © 2013 John Wiley & Sons, Ltd.
Volume 23, Issue 2, pages 248–252, February 2014
How to Cite
Drake, T. (2014), PRIORITY SETTING IN GLOBAL HEALTH: TOWARDS A MINIMUM DALY VALUE. Health Econ., 23: 248–252. doi: 10.1002/hec.2925
- Issue published online: 21 JAN 2014
- Article first published online: 9 APR 2013
- Manuscript Accepted: 9 MAR 2013
- Manuscript Revised: 14 FEB 2013
- Manuscript Received: 3 DEC 2012
- global health;
- priority setting;
- cost effectiveness threshold
Rational and analytic healthcare decision making employed by many national healthcare-funding bodies could also be expected from global health donors. Cost effectiveness analysis of healthcare investment options presents the effectiveness of a particular action in proportion to the resources required, and cost effectiveness thresholds, while somewhat arbitrary, define the level at which the investment can be considered value for money. Currently, cost effectiveness thresholds reflect the national budget context or willingness-to-pay, which is problematic when making cross-country comparisons. Defining a global minimum monetary value for the disability adjusted life year (DALY) would in effect set a global baseline cost effectiveness threshold. A global minimum DALY value would reflect a universal minimum value on human health, irrespective of a national provider's willingness or ability to pay. A minimum DALY value and associated threshold has both limitations and flaws but is justified on similar grounds to the Millennium Development Goals or the absolute poverty threshold and has the potential to radically improve transparency and efficiency of priority setting in global health. Copyright © 2013 John Wiley & Sons, Ltd.