scholarly journals PCN37 IMPACT OF HEALTH CARE REFORMSAND CHANGING PAYMENT MECHANISMS ON HEALTH ECONOMIC EVALUATIONS IN GERMANY

2005 ◽  
Vol 8 (6) ◽  
pp. A44
Author(s):  
K Hieke ◽  
A Grothey
Keyword(s):  
Health Care ◽  
Health Economic ◽  
Economic Evaluations ◽  
Payment Mechanisms

PD85 Testing Search Filters To Retrieve Economic Evaluations In Embase

2018 ◽  
Vol 34 (S1) ◽  
pp. 158-158
Author(s):  
Ingrid Harboe ◽  
Arna Desser ◽  
Lena Nordheim ◽  
Julie Glanville
Keyword(s):  
Health Care ◽  
Health Economic ◽  
Economic Evaluation ◽  
Health Care Services ◽  
Evidence Base ◽  
Bibliographic Databases ◽  
Economic Evaluations ◽  
Care Services ◽  
Health Authorities ◽  
Search Filters

Introduction:Health technology assessments (HTAs) are increasingly used by Norwegian health authorities as the evidence base when prioritizing which health care services to offer. HTAs typically consist of a systematic review of the effects and safety of two or more health care interventions, and an economic evaluation of the interventions, based on systematic literature searches in bibliographic databases. Objective: To identify the best performing of seven search filters to retrieve health economic evaluations used to inform HTAs, by comparing the cost-effectiveness analysis (CEA) filter to six published filters in Ovid Embase, and achieve a sensitivity of at least 0.90 with a precision of 0.10, and specificity of at least 0.95.Methods:In this filter validation study, the included filters’ performances were compared against a gold standard of economic evaluations published in 2008–2013 (n = 2,248) from the National Health Service Economic Evaluation Database (NHS EED), and the corresponding records (n = 2,198) in the current version of Ovid Embase.Results:The CEA filter had a sensitivity of 0.899 and precision of 0.029. One filter had a sensitivity of 0.880 and a precision of 0.075, which was closest to the objective. The filter with lowest sensitivity (0.702) had a precision of 0.141.Conclusions:Developing search filters for identifying health economic evaluations, with a good balance between sensitivity and precision, is possible but challenging. Researchers should agree on acceptable levels of performance before concluding on which search filter to use.

scholarly journals Experiences of including costs of added life years in health economic evaluations in Sweden

2014 ◽  
Vol 15 (2) ◽  
pp. 45-53 ◽  
Author(s):  
Laura Pirhonen ◽  
Thomas Davidson
Keyword(s):  
Health Care ◽  
Health Economic ◽  
Strong Support ◽  
Point Of View ◽  
Economic Evaluations ◽  
National Guidelines ◽  
Ethical Concerns ◽  
Production And Consumption ◽  
Life Years ◽  
Empirical Point

It is of importance to include the appropriate costs and outcomes when evaluating a health intervention. Sweden is the only country where the national guidelines of decisions on reimbursement explicitly state that costs of added life years should be accounted for when presenting health economic evaluations. The aim of this article is to, from a theoretical and empirical point of view, critically analyze the Swedish recommendations used by the Dental and Pharmaceutical Benefits Agency (TLV), when it comes to the use of costs of added life years in economic evaluations of health care. The aim is furthermore to analyze the numbers used in Sweden and discuss their impact on the incremental cost‑effectiveness ratios of assessed technologies. If following a societal perspective, based on welfare economics, there is strong support for the inclusion of costs of added life years in health economic evaluations. These costs have a large impact on the results. However this fact may be in conflict with ethical concerns of allocation of health care resources, such as favoring the younger part of the population over the older. It is important that the estimates of production and consumption reflect the true societal values, which is not the case with the values used in Sweden.

STRUCTURE FOR ECONOMIC EVALUATIONS

2013 ◽  
Vol 29 (2) ◽  
pp. 115-116 ◽  
Author(s):  
Marjukka Mäkelä ◽  
Harri Sintonen
Keyword(s):  
Health Care ◽  
Health Economic ◽  
Economic Evaluation ◽  
Task Force ◽  
Health Economic Evaluation ◽  
Economic Evaluations ◽  
Delphi Panel ◽  
Reporting Standards ◽  
Modified Delphi ◽  
Item Checklist

Guidelines for reporting economic evaluations in health care are very welcome. A task force of the International Society for Pharmacoeconomics and Outcomes Research has organized a two-round, modified Delphi Panel process to compile a set of recommendations for reporting Consolidated Health Economic Evaluation Reporting Standards. The result is a 24-item checklist with the friendly acronym CHEERS (1), published in this issue of the International Journal of Technology Assessment in Health Care.

scholarly journals Health economic evaluations help inform payers of the best use of scarce health care resources

2011 ◽  
Vol 70 (4) ◽  
pp. 419-427 ◽  
Author(s):  
Daria O’Reilly ◽  
Kathryn Gaebel ◽  
Feng Xie ◽  
Jean-Eric Tarride ◽  
Ron Goeree
Keyword(s):  
Health Care ◽  
Health Economic ◽  
Economic Evaluations ◽  
Health Care Resources

scholarly journals PRM11 Learning Effect in Economic Evaluations of Health Care Interventions

2011 ◽  
Vol 14 (7) ◽  
pp. A422-A423
Author(s):  
S. Chang ◽  
D. Sungher ◽  
A. Diamantopoulos
Keyword(s):  
Health Care ◽  
Learning Effect ◽  
Economic Evaluations ◽  
Health Care Interventions

scholarly journals Health economic measures in schizophrenia research

2007 ◽  
Vol 191 (S50) ◽  
pp. s42-s45 ◽  
Author(s):  
Paul McCrone
Keyword(s):  
Health Economic ◽  
Economic Evaluation ◽  
Cost Utility ◽  
Outcome Data ◽  
Cost Utility Analysis ◽  
Economic Evaluations ◽  
Utility Analysis ◽  
Short Term ◽  
Effectiveness Analysis

BackgroundIt is essential in economic evaluations of schizophrenia interventions that all relevant costs are identified and measured appropriately Also of importance is the way in which cost data are combined with information on outcomesAimsTo examine the use of health economicsin evaluations of interventions for schizophreniaMethodsAreview of the key methods used to estimate costs and to link costs and outcomes was conductedResultsCosts fall on a number of different agencies and can be short term or long term. Cost-effectiveness analysis and cost-utility analysis are the most appropriate methods for combing cost and outcome dataConclusionsSchizophrenia poses a number of challenges for economic evaluation

Mental health economics: current methodological issues

2011 ◽  
Vol 20 (3) ◽  
pp. 239-243 ◽  
Author(s):  
P. McCrone
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care Services ◽  
Self Report ◽  
Economic Evaluations ◽  
Methodological Issues ◽  
Care Services ◽  
Life Years ◽  
Mental Health Economics

Background:Investment in innovative mental health care services requires the use of scarce resources that could be used in alternative ways. Economic evaluation is essential to ensure that such an investment is appropriately compared with investment elsewhere.Method:A non-systematic review of mental health evaluations identifies key methodological issues pertaining to economic studies.Results:Economic evaluations require the measurement and combination of costs and outcomes, and clarity about how this measurement is undertaken is required. Regarding costs, important considerations relate to the perspective to be taken (e.g., health service or societal), method of measurement (patient self-report or use of databases) and valuation (actual costs, fees or expenditure). Decision makers frequently need to compare evidence both within and between clinical areas and therefore there is a tension between the use of condition specific and generic outcome measures. Quality-adjusted life years are frequently used in economic evaluations, but their appropriateness in mental health care studies is still debated.Conclusions:Economic evaluations in the area of mental health care are increasing in number and it is essential that researchers continue to develop and improve methods used to conduct such studies.

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