How much can the NHS afford to spend to save a life or avoid a severe disability

作者: CJ Roberts , SC Farrow , MC Charny , None

DOI: 10.1016/S0140-6736(85)91975-0

关键词: MEDLINEHealth careSevere disabilityNational health serviceMedical emergencyTransplantationBreast cancer screeningEquity (finance)MedicineCost–benefit analysis

摘要: KIE: A measure termed the "benefit:premium ratio" is proposed to determine whether certain screening programs or high technology procedures are too expensive for Britain's National Health Service (NHS). Given that NHS budget finite, some programs, though proven effective, violate principle of equity and reduce benefits available all subscribers. Since such as cervical breast cancer screening, routine preoperative chest X-rays, aimed at eliminating infrequent risks, their cost higher than warranted an insurance-based system health care. On other hand, renal transplantation, blood pressure open heart surgery affordable according benefit:premium formula.