ArticleGlobal public health2017
Hidden costs: The ethics of cost-effectiveness analyses for health interventions in resource-limited settings.
Article in Global public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed.
- Economic evaluation of financial incentives for maternal and child health in the Democratic Republic of the Congo (DRC): a decision-tree modelling based on a cluster randomized controlled trial.Global health research and policy · 2025Trial
- Factors influencing patients to choose one obesity treatment over another: a qualitative study.International journal of obesity (2005) · 2025Article
- Optimizing the Harms and Benefits of Cervical Screening in a Partially Vaccinated Population in Ontario, Canada: A Modeling Study.Medical decision making : an international journal of the Society for Medical Decision Making · 2025Article
- Turning back the clock: reintroducing 'SAFE' principles to spinal cord stimulation for long-term therapy preservation.Pain management · 2025Article
- Reframing Optimal Control Problems for Infectious Disease Management in Low-Income Countries.Bulletin of mathematical biology · 2023Article
- Children First, a Debate on the Restrictions to Tackle COVID-19.Children (Basel, Switzerland) · 2023Article
- Article
- Values are not enough: qualitative study identifying critical elements for prioritization of health equity in health systems.International journal for equity in health · 2020Article
- Variation in the methodological approach to productivity cost valuation: the case of prostate cancer.The European journal of health economics : HEPAC : health economics in prevention and care · 2019Article
- Economic value of protected areas via visitor mental health.Nature communications · 2019Review
- Utilitarianism and the ethical foundations of cost-effectiveness analysis in resource allocation for global health.Philosophy, ethics, and humanities in medicine : PEHM · 2019Article
- Exploring the ethics of global health research priority-setting.BMC medical ethics · 2018Article
- Cost-Effectiveness of Pre-exposure HIV Prophylaxis During Pregnancy and Breastfeeding in Sub-Saharan Africa.Journal of acquired immune deficiency syndromes (1999) · 2016Article
- Informing road traffic intervention choices in South Africa: the role of economic evaluations.Global health actionArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
Cost-effectiveness analysis (CEA) is an increasingly appealing tool for evaluating and comparing health-related interventions in resource-limited settings. The goal is to inform decision-makers regarding the health benefits and associated costs of alternative interventions, helping guide allocation of limited resources by prioritising interventions that offer the most health for the least money. Although only one component of a more complex decision-making process, CEAs influence the distribution of health-care resources, directly influencing morbidity and mortality for the world's most vulnerable populations. However, CEA-associated measures are frequently setting-specific valuations, and CEA outcomes may violate ethical principles of equity and distributive justice. We examine the assumptions and analytical tools used in CEAs that may conflict with societal values. We then evaluate contextual features unique to resource-limited settings, including the source of health-state utilities and disability weights, implications of CEA thresholds in light of economic uncertainty, and the role of external donors. Finally, we explore opportunities to help align interpretation of CEA outcomes with values and budgetary constraints in resource-limited settings. The ethical implications of CEAs in resource-limited settings are vast. It is imperative that CEA outcome summary measures and implementation thresholds adequately reflect societal values and ethical priorities in resource-limited settings.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.