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Applications of cost-effectiveness methodologies in behavioral medicine
Robert M Kaplan1, Erik J Groessl
1Department of Family and Preventive Medicine, University of California, San Diego, La Jolla 92093-0628, USA. rkaplan@ucsd.edu
Journal of Consulting and Clinical Psychology
|July 2, 2002
Summary
Cost-effectiveness analysis standards exist, but few behavioral medicine studies meet them. Standardized analysis offers significant opportunities to improve behavioral medicine research quality.
Area of Science:
- Health Economics
- Behavioral Medicine
- Health Services Research
Background:
- The Panel on Cost-Effectiveness in Health and Medicine established standards in 1996 for rigorous analysis.
- These standards emphasize a societal perspective, comparison to the best alternative, and standardized health benefit units.
Purpose of the Study:
- To evaluate the adherence of behavioral medicine cost-effectiveness studies to established methodological standards.
- To identify the extent of high-quality cost-effectiveness analyses within behavioral medicine literature.
Main Methods:
- A systematic review of Medline references from 1995-2000 was conducted.
- Studies were screened for relevance to behavioral medicine and evaluated against the 1996 Panel criteria.
Main Results:
- Out of 24,562 references, only a small number were relevant to behavioral medicine.
- Only 19 studies met initial evaluation criteria, and just 2 aligned with high-quality analysis standards.
- More recent studies showed a greater tendency to meet methodological standards.
Conclusions:
- There is a significant gap in the application of standardized cost-effectiveness analysis in behavioral medicine.
- Implementing these standards presents a substantial opportunity to enhance the quality and impact of behavioral medicine research.
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