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Table 3 Optimization results for different budgets

From: Targeted versus universal prevention. a resource allocation model to prioritize cardiovascular prevention

Budget

(€ *10^6)

Spent in general population (%)

Total health gains (QALY*1000)

Gained in general population (%)

Incremental costs per QALY

Changes in interventions chosen i

1

100

700

100

€1,400

+ S1

10

100

6,950

100

€1,400

NAii

100

89

29,400

90

€6,700

+ IS1, Sd1, Sd2, HL1,

HL2, XP1

250

65

50,400

74

€7,400

+ XP2, BPd1, BPd2

500

32

78,100

47

€9,800

+ Sd3, Std2

750

24

103,000

37

€10,900

+ ISd1, LA2, BP2

- Sd1

1,000

43

126,000

49

€10,900

NA

2500

77

264,000

76

€10,900

NA

5,000

83

440,000

81

€18,100

+ ISd2, BP1, BPd3, St1

- Sd2

7,253

88

561,000

84

€49,300

+ ISd3, SL1, LA3, St2, Std1

- Sd3

  1. Maximal health gains and incremental costs per QALY for a range of different budgets. Net present values over a lifetime horizon. Discount rates 4% for costs and 1.5% for QALYs, price level 2007. Interventions added as compared to the set chosen for the budget in the previous row are indicated by +, interventions removed are indicated by -.
  2. i A list of the interventions and their abbreviations is given in Table 2.
  3. ii That is, more money was spent on the same set of interventions as in the previous row