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Current status of economic appraisal of health technology in the European community: Report of the network

Author

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  • Davies, Linda
  • Coyle, Douglas
  • Drummond, Michael
  • The EC Network on the Methodology of Economic Appraisal of Health Technology

Abstract

The use of economic evaluation to assess the costs and consequences of health care technologies has steadily increased in recent years. However, little is known about the influence economic studies have on health care decision makers or policy at local and national level. This paper reports the results of a survey of economic evaluations in EC countries to identify the impact of the results on decision and policy making in health care. Health service researchers in 10 EC countries were identified and asked to participate in the survey. The researchers were asked to locate economic evaluations in their country and complete a standardised questionnaire for each study. The criteria for inclusion in the survey were first, the studies should have been started or reported since 1987, second, the evaluations should include a comparison of the cost and consequences of the technologies assessed and finally, the appraisals should include a comparison of alternative health care technologies or programmes. A total of 66 studies which met the survey criteria were reported. Of these, 27% were thought to have influenced health care decision makers or policy. The results suggested that method of dissemination, source of funding and purpose of the study may be important determinants of whether an economic evaluation will be used in health care policy or decision making. The results of the survey suggest that economic evaluation currently has a relatively low impact on health care policy or decision making. If researchers wish to increase the influence of economic evaluation in the policy process more attention needs to be paid to (i) methods of communicating the results to health care decision and policy makers, and (ii) the policy making framework and processes.

Suggested Citation

  • Davies, Linda & Coyle, Douglas & Drummond, Michael & The EC Network on the Methodology of Economic Appraisal of Health Technology, 1994. "Current status of economic appraisal of health technology in the European community: Report of the network," Social Science & Medicine, Elsevier, vol. 38(12), pages 1601-1607, June.
    • Handle: RePEc:eee:socmed:v:38:y:1994:i:12:p:1601-1607
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    Citations

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    Cited by:

    1. Mason, James & Eccles, Martin & Freemantle, Nick & Drummond, Michael, 1999. "A framework for incorporating cost-effectiveness in evidence-based clinical practice guidelines," Health Policy, Elsevier, vol. 47(1), pages 37-52, April.
    2. Gregory Merlo & Katie Page & Julie Ratcliffe & Kate Halton & Nicholas Graves, 2015. "Bridging the Gap: Exploring the Barriers to Using Economic Evidence in Healthcare Decision Making and Strategies for Improving Uptake," Applied Health Economics and Health Policy, Springer, vol. 13(3), pages 303-309, June.
    3. Eddama, Oya & Coast, Joanna, 2008. "A systematic review of the use of economic evaluation in local decision-making," Health Policy, Elsevier, vol. 86(2-3), pages 129-141, May.
    4. Banta, David, 2003. "The development of health technology assessment," Health Policy, Elsevier, vol. 63(2), pages 121-132, February.
    5. Perleth, Matthias & Jakubowski, Elke & Busse, Reinhard, 2001. "What is `best practice' in health care? State of the art and perspectives in improving the effectiveness and efficiency of the European health care systems," Health Policy, Elsevier, vol. 56(3), pages 235-250, June.
    6. Andrea Anonychuk & Andrea Tricco & Chris Bauch & Ba’ Pham & Vladimir Gilca & Bernard Duval & Ava John-Baptiste & Gloria Woo & Murray Krahn, 2008. "Cost-Effectiveness Analyses of Hepatitis A Vaccine," PharmacoEconomics, Springer, vol. 26(1), pages 17-32, January.
    7. Anna García‐Altés, 2001. "Twenty years of health care economic analysis in Spain: are we doing well?," Health Economics, John Wiley & Sons, Ltd., vol. 10(8), pages 715-729, December.
    8. Maria-Florencia Hutter & Roberto Rodríguez-Ibeas & Fernando Antonanzas, 2014. "Methodological reviews of economic evaluations in health care: what do they target?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 15(8), pages 829-840, November.
    9. Lessard, Chantale, 2007. "Complexity and reflexivity: Two important issues for economic evaluation in health care," Social Science & Medicine, Elsevier, vol. 64(8), pages 1754-1765, April.
    10. Mike Drummond & Jonathan Cooke & Tom Walley, 1996. "Economic evaluation in health care decision making: evidence from the UK," Working Papers 148chedp, Centre for Health Economics, University of York.
    11. Hoffmann, Christiane AU -, 2000. "The influence of economic evaluation studies on decision making.: A European survey," Health Policy, Elsevier, vol. 52(3), pages 179-192, July.
    12. James Mason & Martin Eccles & Nick Freemantle & Mike Drummond, 1998. "NICEly does it: economic analysis within evidence-based clinical practice guidelines," Working Papers 164chedp, Centre for Health Economics, University of York.
    13. van den Heuvel, Wim J. A. & Wieringh, Roelof & van den Heuvel, Lisette P. M., 1997. "Utilisation of medical technology assessment in health policy," Health Policy, Elsevier, vol. 42(3), pages 211-222, December.
    14. Murillo Fort, Carles & González López-Valcárcel, Beatriz, 2006. "Potencialidades Y Limitaciones De Las Ligas De Calidad De Los Proveedores Sanitarios/Quality Ranking Of Health Care Providers: Potential And Limitations," Estudios de Economia Aplicada, Estudios de Economia Aplicada, vol. 24, pages 777-788, Diciembre.

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