Achieving Allocative Efficiency in Healthcare: Nice in Theory, not so NICE in Practice?

Mike Paulden, Christopher McCabe, Jonathan Karnon

Research output: Contribution to journalReview articlepeer-review

7 Citations (Scopus)


Eckermann and Pekarsky have written a thought-provoking paper that challenges a number of existing concepts, including methods for determining the cost-effectiveness threshold for appraising new health technologies for potential adoption into a public healthcare system.

Previously proposed approaches to defining the threshold have included the estimation of the societal monetary value of a QALY to inform the net monetary benefits of new technologies, where the technology is funded if the net benefits are positive. Alternative approaches aim to represent opportunity cost, either by focusing on the QALYs forgone from the displacement of services to generate resources to fund new technologies, or as a retrospective estimate of expected QALY gains from budget expansion or contraction at the margin
Original languageEnglish
Pages (from-to)315-318
Number of pages4
Issue number4
Publication statusPublished - Apr 2014
Externally publishedYes


  • Cost-effectiveness
  • QALY
  • monetary benefits


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