Freeman Spogli Institute for International Studies Center for Health Policy/Center for Primary Care and Outcomes Research Stanford University


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Resource Allocation for Control of Infectious Diseases in Multiple Independent Populations: Beyond Cost-Effectiveness Analysis

Journal Article

Authors
Margaret L. Brandeau - Stanford University
GS Zaric
A Richter

Published by
Journal of Health Economics, Vol. 22, page(s) 575-598
2003


Traditional cost-effectiveness analysis (CEA) assumes that program costs and benefits scale linearly with investment-an unrealistic assumption for epidemic control programs. This paper combines epidemic modeling with optimization techniques to determine the optimal allocation of a limited resource for epidemic control among multiple noninteracting populations. We show that the optimal resource allocation depends on many factors including the size of each population, the state of the epidemic in each population before resources are allocated (e.g. infection prevalence and incidence), the length of the time horizon, and prevention program characteristics. We establish conditions that characterize the optimal solution in certain cases.

Topics: Economics | Investment