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Cost effectiveness thresholds in healthcare resource allocation

Research Project

Project/Area Number 18H00862
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Review Section Basic Section 07050:Public economics and labor economics-related
Research InstitutionHitotsubashi University

Principal Investigator

NAKAMURA Ryota  一橋大学, 社会科学高等研究院, 教授 (00717209)

Co-Investigator(Kenkyū-buntansha) 井深 陽子  慶應義塾大学, 経済学部(三田), 教授 (20612279)
YAO YING  一橋大学, 社会科学高等研究院, 特任講師 (30810915)
Project Period (FY) 2018-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥14,820,000 (Direct Cost: ¥11,400,000、Indirect Cost: ¥3,420,000)
Fiscal Year 2020: ¥6,760,000 (Direct Cost: ¥5,200,000、Indirect Cost: ¥1,560,000)
Fiscal Year 2019: ¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Fiscal Year 2018: ¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Keywords費用対効果 / 医療政策 / 因果推論 / 医療費 / 医療経済学 / 費用対効果評価 / 医療経済評価 / 医療 / 費用効果分析 / 機会費用 / 薬価 / パネルデータ
Outline of Final Research Achievements

In this project we conducted theoretical and empirical investigations of cost effectiveness thresholds to inform efficient allocation of collected resources in health care. First, we conducted an analysis of evidence-informed determination of a cost effectiveness threshold in low- and middle-income countries, where their thresholds have not typically been based on scientific evidence. We also offered a guidance of implementation of a cost effectiveness threshold to achieve efficient allocation of resources. Second, we collected and analyzed the national health insurance claims data and the national vital statistics in Japan to investigate the relationship between health care expenditure and all-cause and cause-specific mortality, to quantify the health opportunity cost in the Japanese health system. Third, we collected and analyzed public budget allocation data for health facilities and the prevalence of diseases and deaths at each primary health care facility in Bhutan.

Academic Significance and Societal Importance of the Research Achievements

日本をはじめとするアジア諸国では高齢化や医療の高度化によって医療費の増大が懸念されており、限られた医療資源の効率的な使用は急務である。費用対効果を重視した医療技術評価による資源配分は国際的な主流になりつつあるが、本研究では「何をもって費用対効果に優れると見做すか」という根本的な問いに対する実証研究を行った。その成果は論文として公表された他、関連学会等での発表を通じて普及された。本研究を通じて、タイ政府、ブータン政府、セネガル政府と協働して新たな関連研究が遂行されており、政策的関心と学術的な継続性の高い研究プログラムになったと考えられる。

Report

(4 results)
  • 2022 Final Research Report ( PDF )
  • 2020 Annual Research Report
  • 2019 Annual Research Report
  • 2018 Annual Research Report
  • Research Products

    (19 results)

All 2020 2019 2018 Other

All Int'l Joint Research (4 results) Journal Article (3 results) (of which Int'l Joint Research: 3 results,  Peer Reviewed: 3 results,  Open Access: 3 results) Presentation (9 results) (of which Int'l Joint Research: 8 results,  Invited: 4 results) Book (3 results)

  • [Int'l Joint Research] Ministry of Health(ブータン)

    • Related Report
      2019 Annual Research Report
  • [Int'l Joint Research] Ministry of Public Health(タイ)

    • Related Report
      2019 Annual Research Report
  • [Int'l Joint Research] National University of Singapore(シンガポール)

    • Related Report
      2019 Annual Research Report
  • [Int'l Joint Research] Ministry of Public Health/Public Health England/Tufts Medical Center(タイ)

    • Related Report
      2018 Annual Research Report
  • [Journal Article] Prevention of non-communicable disease: best buys, wasted buys, and contestable buys2020

    • Author(s)
      Wanrudee Isaranuwatchai,Yot Teerawattananon, Nakamura Ryota
    • Journal Title

      The BMJ

      Volume: 368-m141 Pages: 1-1

    • DOI

      10.1136/bmj.m141

    • Related Report
      2020 Annual Research Report 2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Real-world data for health technology assessment for reimbursement decisions in Asia: current landscape and a way forward2020

    • Author(s)
      Lou J, [...] Nakamura R et al.
    • Journal Title

      International Journal of Technology Assessment in Health Care

      Volume: 36 Issue: 5 Pages: 474-480

    • DOI

      10.1017/s0266462320000628

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Landscape analysis of health technology assessment (HTA): systems and practices in Asia.2019

    • Author(s)
      Teerawattananon Y, Rattanavipapong W, Lin LW, Dabak SV, Gibbons B, Isaranuwatchai W, Toh KY, Cher BP, Pearce F, Bayani DBS, Nakamura R, Pwu RF, Shafie AA, Adhikari D, Prinja S, Babidge W
    • Journal Title

      International Journal of Technology Assessment in Health Care

      Volume: 35(6) Issue: 6 Pages: 416-421

    • DOI

      10.1017/s0266462319000667

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Presentation] Demand and Supply of HTA in Japan2020

    • Author(s)
      Ryota Nakamura
    • Organizer
      Workshop and Symposium: Introduction to Health Technology Assessment (HTA)
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Decision rules2020

    • Author(s)
      Ryota Nakamura
    • Organizer
      Workshop and Symposium: Introduction to Health Technology Assessment (HTA)
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] HTA implementation in Japan: achievement and future development2019

    • Author(s)
      Ryota Nakamura
    • Organizer
      WONCA Asia Pacific Conference
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Health technology assessment, Japanese experiences, and cost-effectiveness threshold2019

    • Author(s)
      Ryota Nakamura
    • Organizer
      Ministry of Health, Bhutan
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] How to collaborate better within the HTAsiaLink?2019

    • Author(s)
      Ryota Nakamura
    • Organizer
      8th HTAsiaLink Annual Conference
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Achieving Best Value for Money in Preventing Noncommunicable Diseases: Analysis of Global Evidence Base and Local Case Studies2019

    • Author(s)
      Ryota Nakamura
    • Organizer
      一橋大学アジア政策フォーラム
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] What evidence should be used to quantify cost-effectiveness thresholds for decision making in the Asia Pacific region?2018

    • Author(s)
      Ryota Nakamura
    • Organizer
      ISPOR Asia Pacific 2018
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] EBPMと医療技術評価2018

    • Author(s)
      中村良太
    • Organizer
      RIETI EBPM研究会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] Best buys, wasted buys, and controversies in non-communicable disease prevention2018

    • Author(s)
      Ryota Nakamura
    • Organizer
      Prince Mahidol Award Conference
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Book] "Global Health Economics : Assessing the Impact of Health Care Expenditures on Mortality Using Cross-Country Data(Chapter 1) and Cost-Effectiveness Thresholds: Guiding Health Care Spending for Population Health Improvement(Chapter 3)" (Ryota Nakamura)2020

    • Author(s)
      Paul Revill, Marc Suhrcke, Rodrigo Moreno-Serra, and Mark Sculpher
    • Total Pages
      376
    • Publisher
      World Scientific
    • ISBN
      9789813272361
    • Related Report
      2020 Annual Research Report
  • [Book] "Non-Communicable Disease Prevention: Best Buys, Wasted Buys and Contestable Buys : Best Buys(Chapter 4)" (Ryota Nakamura)2020

    • Author(s)
      Wanrudee Isaranuwatchai; Rachel A. Archer; Yot Teerawattananon; Anthony J. Culyer
    • Total Pages
      214
    • Publisher
      Open Book Publishers
    • ISBN
      9781783748631
    • Related Report
      2020 Annual Research Report
  • [Book] 新医療経済学‐医療の費用と効果を考える2019

    • Author(s)
      井伊雅子・五十嵐中・中村良太
    • Total Pages
      256
    • Publisher
      日本評論社
    • ISBN
      9784535559233
    • Related Report
      2019 Annual Research Report

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Published: 2018-04-23   Modified: 2024-01-30  

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