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Purpose

To assist in achieving cost effective health care allocations in a collective choice setting, the purpose of this paper is to illustrate the use of a tool not common in the public budgeting literature but is common in the health economics literature.

Design/methodology/approach

Through a meta-analysis of the health care spending literature that computed the value of quality-adjusted life years, the authors provide an alternative approach for budgeters and policymakers.

Findings

The authors provide an alternative approach for budgeters and policymakers for weighing the benefits of alternative health care spending allocations.

Originality/value

The authors introduce an alternative approach for weighing the benefits of alternative health care spending allocations. As a tool for budgeting professionals, cost per QALY allows for the opportunity to raise cost-effectiveness of public health expenditures as a tool for governments to allocate resources based on outcomes, rather than inputs.

I am a US government employee and there is no copyright to transfer. Published 2018. This article is a US government work and is in the public domain in the USA.
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