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Cost-Effectiveness of Universal Contraceptive Subsidy in British Columbia, Canada by Charles Litwin; Nicole Todd; Wendy Norman is a Medicine article available to read on EtoBox.

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We aim to explore the cost-effectiveness of the etonogestrel implant compared to other contraceptive options to prevent unintended pregnancy (UIP) in British Columbia (BC).Methods: A Markov analytic decision model was developed to determine the costs and outcomes of contraceptive care of the implant compared to other contraceptive options available in BC. A systematic literature review was performed to inform the model parameters including method-specific prevalence, continuation, discontinuation and failure rates. BC-specific costs were included.A hypothetical willingness-to-pay (WTP) threshold was calculated by using the weighted average of the costs associated with each pregnancy outcome in BC. Deterministic and probabilistic sensitivity analyses with a Monte Carlo simulation were conducted to evaluate the uncertainty in the model. The perspective of the Government of British Columbia as single-payer of the publicly funded health care system was employed. A cycle length of 12 months with a time horizon of 5 years were used.Results: Among 1000 biological females, the model estimated direct medical costs to be CAD $813 258 with 107 UIP by the implant. At a WTP threshold of 5362 CA

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Author

Charles Litwin; Nicole Todd; Wendy Norman

Publisher

Elsevier BV

Published

2022

Language

EN

Field

Medicine (Health Sciences)