How Much Should be Invested in Lung Care Across the WHO European Region? Applying a Monetary Value to Disability-Adjusted Life-Years Within the International Respiratory Coalition’s Lung Facts

Matthew Franklin (), Colin Angus, Tobias Welte and Guy Joos
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Matthew Franklin: University of Sheffield
Colin Angus: University of Sheffield
Tobias Welte: Department of Respiratory Medicine and German Centre of Lung Research (DZL), Hannover Medical School
Guy Joos: Ghent University Hospital

Applied Health Economics and Health Policy, 2023, vol. 21, issue 4, No 3, 547-558

Abstract: Abstract Objectives The International Respiratory Coalition’s Lung Facts web resource provides the latest data on a range of lung conditions covering the World Health Organization’s European Region, informed by the Global Burden of Disease studies: https://international-respiratory-coalition.org/lung-facts/ . Within Lung Facts, disability-adjusted life-years (DALYs) are monetised based on gross domestic product (GDP) per capita. We describe the conceptual and empirical basis for using monetised DALYs to inform negotiations with policymakers to invest in lung care across the World Health Organization European region. Methods We reflect on the existing debate and research evidence regarding the X value in an X*GDP per capita framework to monetise DALYs, with a focus on if 1*GDP per capita is conceptually and practically appropriate. Using an asthma case study, Global Burden of Disease study 2019 DALY estimates per country are presented. Gross domestic product per capita are converted to international dollars using purchasing power parity (Int$2019). Results Using 1*GDP per capita, the estimated monetised asthma DALY burden, for example, in Kyrgyzstan or Germany is: across the whole population, $44,860,483 or $9,264,767,882, respectively; per 100,000 people, $731,600 or $10,208,317, respectively. Conclusions Our indicative monetised DALY estimates can enable informed discussions with policy and decision makers, to guide financial investment in alleviating the burden of lung conditions. We suggest 1*GDP per capita as a benchmarked value forms a starting point for negotiation with policymakers for investing in lung care, by scaling the estimated lung condition DALY burden to the resource available in each country to tackle the burden.

Date: 2023
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DOI: 10.1007/s40258-023-00802-y

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