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Economic Evidence at the Local Level

Author

Listed:
  • Kees Gool

  • Gisselle Gallego
  • Marion Haas
  • Rosalie Viney
  • Jane Hall
  • Robyn Ward

Abstract

Like other countries, Australia has had some success in incorporating economic evidence into national healthcare decisions. However, it has been recognised that this coverage does not extend to the local hospital or health region level. An extensive body of research has identified barriers to the use of economic evidence at the local level, leading some commentators to suggest that economic evaluation should only be targeted at national decision-making bodies. Yet, local decision makers in Australia and elsewhere make important choices about the uptake and diffusion of healthcare technologies. We propose a number of interrelated options to address the barriers that currently prohibit the use of economic evaluation by local decision makers in many jurisdictions. These include wider dissemination of user friendly models, inclusion of assessments of the cost impact of interventions on various budgets, and the establishment of an authoritative body that ensures the production of high quality economic models. It is argued that these options can have a significant impact on the way economic evaluations are conducted, reported, disseminated and used. Copyright Adis Data Information BV 2007

Suggested Citation

  • Kees Gool & Gisselle Gallego & Marion Haas & Rosalie Viney & Jane Hall & Robyn Ward, 2007. "Economic Evidence at the Local Level," PharmacoEconomics, Springer, vol. 25(12), pages 1055-1062, December.
    • Handle: RePEc:spr:pharme:v:25:y:2007:i:12:p:1055-1062
    DOI: 10.2165/00019053-200725120-00006
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    References listed on IDEAS

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    1. Productivity Commission, 2005. "Impacts of Advances in Medical Technology in Australia," Research Reports, Productivity Commission, Government of Australia, number 17, January.
    2. Gerard, Karen & Smoker, Irenie & Seymour, Janelle, 1999. "Raising the quality of cost-utility analyses: lessons learnt and still to learn," Health Policy, Elsevier, vol. 46(3), pages 217-238, March.
    3. Dewald, William G & Thursby, Jerry G & Anderson, Richard G, 1986. "Replication in Empirical Economics: The Journal of Money, Credit and Banking Project," American Economic Review, American Economic Association, vol. 76(4), pages 587-603, September.
    4. Cam Donaldson & Stephen Birch & Amiram Gafni, 2002. "The distribution problem in economic evaluation: income and the valuation of costs and consequences of health care programmes," Health Economics, John Wiley & Sons, Ltd., vol. 11(1), pages 55-70, January.
    5. repec:bla:ausecr:v:37:y:2004:i:1:p:3-11 is not listed on IDEAS
    6. Kees van Gool & Gisselle Gallego & Marion Haas & Rosalie Viney & Jane Hall & Robyn Ward, 2007. "Incorporating economic evidence into cancer care: searching for the missing link," Working Papers 2007/3, CHERE, University of Technology, Sydney.
    7. Gafni, Amiram & Birch, Stephen, 2006. "Incremental cost-effectiveness ratios (ICERs): The silence of the lambda," Social Science & Medicine, Elsevier, vol. 62(9), pages 2091-2100, May.
    8. Sloan, Frank A. & Whetten-Goldstein, Kathryn & Wilson, Alicia, 1997. "Hospital pharmacy decisions, cost containment, and the use of cost-effectiveness analysis," Social Science & Medicine, Elsevier, vol. 45(4), pages 523-533, August.
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    Cited by:

    1. Erik Nord & Jose Luis Pinto & Jeff Richardson & Paul Menzel & Peter Ubel, 1999. "Incorporating societal concerns for fairness in numerical valuations of health programmes," Health Economics, John Wiley & Sons, Ltd., vol. 8(1), pages 25-39, February.
    2. Praveen Thokala & Simon Dixon & Beate Jahn, 2015. "Resource Modelling: The Missing Piece of the HTA Jigsaw?," PharmacoEconomics, Springer, vol. 33(3), pages 193-203, March.

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