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Standardizing Methodologies for Economic Evaluation in Health Care: Practice, Problems, and Potential

Published online by Cambridge University Press:  10 March 2009

Michael Drummond ,
Arno Brandt ,
Bryan Luce  and
Joan Rovira
Michael Drummond
Affiliation:
University of York
Arno Brandt
Affiliation:
Institute for Medical Informatics and Biostatistics
Bryan Luce
Affiliation:
Battelle MEDTAP Research Center
Joan Rovira
Affiliation:
SOIKOS
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Abstract

There has been an exponential growth in the literature on economic evaluation in health care. As the range and quality of analytical work has improved, economic studies are becoming more influential with health care decision makers. The development of standards for economic evaluation methods would help maintain the scientific quality of studies, facilitate the comparison of economic evaluation results for different health care interventions, and assist in the interpretation of results from setting to setting. However, standardization might unnecessarily stifle methodological developments. This paper reviews the arguments for and against standardization, assesses attempts to date, outlines the main areas of agreement and disagreement on methods for economic evaluation, and makes recommendations for further work.

Type
General Essays
Information
International Journal of Technology Assessment in Health Care , Volume 9 , Issue 1 , Winter 1993 , pp. 26 - 36
Copyright
Copyright © Cambridge University Press 1993

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References

REFERENCES

1.Drummond, M. F.Principles of economic evaluation in health care. Oxford: Oxford Univesity Press, 1980.Google Scholar
2.Drummond, M. F.Welfare economics and cost-benefit analysis in health care. Scottish Journal of Political Economy, 1981, 28, 125–45.CrossRefGoogle Scholar
3.Drummond, M. F.European Community Concerted Action on the Methodology of Economic Appraisal of Health Technology. Brussels: COMAC-HSR, European Community, 1987.Google Scholar
4.Drummond, M. F., Stoddart, G. L., & Torrance, G. W.Methods for the economic evaluation of health care programmes. Oxford: Oxford University Press, 1987.Google Scholar
5.Eddy, D. M. (ed.). Special section: Alternative methods for assessing technology, Part 1. International Journal of Technology Assessment in Health Care, 1989, 5, 483–575.CrossRefGoogle Scholar
6.Eddy, D. M. (ed.). Special section: Alternative methods for assessing technology, Part 2. International Journal of Technology Assessment in Health Care, 1990, 6, 3–103.Google Scholar
7.Kamlet, M. S.A framework for cost-utility analysis of government health care programs. Report to the Office of Disease Prevention and Health Promotion. Washington, DC: Public Health Service, Department of Health and Human Services in cooperation with the Foundationfor Health Services Research, 1990.Google Scholar
8.Luce, B. R., & Elixhauser, A.Standards for socio-economic evaluation of health care products and services. Berlin: Springer-Verlag, 1990.CrossRefGoogle Scholar
9.Mehrez, A., and Gafni, A.Quality-adjusted life-years, utility theory and health years equivalents. Medical Decision Making, 1989, 9, 142–49.CrossRefGoogle ScholarPubMed
10.Russell, L. B.Is prevention better than cure? Washington, DC:The Brookings Institution, 1986.Google Scholar
11.Sugden, R., and Williams, A. H.The principles of practical cost-benefit analysis. Oxford: Oxford University Press, 1979.Google Scholar
12.Torrance, G. W., & Zipursky, A. A.Cost-effectiveness of antepartum prevention of Rh immunization. Clinics in Perinatology, 1984, 11, 267–81.CrossRefGoogle ScholarPubMed
13.Warner, K. E., & Luce, B. R.Cost-benefit and cost-effectiveness analysis in health care. Ann Arbor, MI: Health Administration Press, 1982.Google ScholarPubMed
14.Weinstein, M. C, & Stason, W. B.Foundations of cost-effectiveness analysis for health and medical practices. New England Journal of Medicine, 1977, 296, 716–21.CrossRefGoogle ScholarPubMed
15.Wennberg, J. E.Dealing with medical practice variations: A proposal for action. Health Affairs, 1984, 3, 6–22.CrossRefGoogle ScholarPubMed
16.Williams, A. H.Economics of coronary artery bypass grafting. British Medical Journal, 1985, 291, 326–29.CrossRefGoogle ScholarPubMed