Table 1.
Specifications of the primary cost–benefit and cost–utility analyses.
CBA Primary Analysis | CUA Primary Analysis | |
---|---|---|
Perspective and Referent Group | Societal, Australian population | Healthcare system |
Comparator/Base Case | Status quo—no shelf tag intervention | |
Options for Appraisal | Shelf tag intervention—3-year intervention and duration of effect | |
Time Horizon | Lifetime account of healthcare costs and health impacts | |
Discount Rate | 3% (recommended by CBA framework [45]) | 5% (recommended by PBAC [21]) |
Costs Included | Supermarket industry, government | Government—health sector |
Benefits Included | HALYs valued using VSLY Healthcare cost-savings Consumer surplus (WTP for HSR) Benefits to supermarkets (assessed qualitatively) |
HALYs gained Healthcare cost-savings |
Decision Rules | NPV/BCR | ICER: AUD per HALY gained |
Sensitivity Analyses * | Univariate and multivariate sensitivity analyses (see Table 2) | |
Distributional Impacts and Other Considerations | Equity and distributional impacts and other considerations described (qualitatively) | |
Reporting | Disaggregate costs and benefits across subgroups (retailers, individuals, government, and various healthcare payers (e.g., state and federal governments, individuals and private health insurers). | Overall findings |
Notes: AUD: Australian dollar; BCR: benefit–cost ratio; CBA: cost–benefit analysis; CUA: cost–utility analysis; HALY: health-adjusted life years; HSR: Health Star Rating; ICER: incremental cost–effectiveness ratio; NPV: net present value; PBAC: Pharmaceutical Benefits Advisory Committee; VSLY: value of a statistical life year; WTP: willingness to pay; * probabilistic sensitivity analyses (PSA) incorporated into all analyses.