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Measuring costs and consequences in economic evaluation in asthma
1Centre for Health Economics, University of York, Heslington, York, UK. mjs23@york.ac.uk
Respiratory Medicine
|May 9, 2003
Summary
Formal economic evaluations are crucial for healthcare decisions, especially in asthma management. Studies should offer flexible results to accommodate diverse decision-maker needs and constraints.
Area of Science:
- Health Economics
- Pharmacoeconomics
- Respiratory Medicine
Background:
- Formal economic evaluation is increasingly vital for health-care decision-making.
- Mandatory economic data submissions for pharmaceutical reimbursement in Australia and Canada highlight this trend.
- The National Institute for Clinical Excellence (NICE) in the U.K. also utilizes economic appraisals.
Purpose of the Study:
- To conduct a detailed review of applied economic studies in asthma.
- To explore methodological issues within asthma economic evaluations.
- To inform best practices for presenting economic data in healthcare.
Main Methods:
- Systematic literature review of applied economic studies in asthma.
- Analysis of methodological variations in study design and reporting.
- Exploration of key decision-making parameters.
Main Results:
- Significant heterogeneity exists in decision-makers' objectives and constraints.
- Methodological choices (perspective, outcome measures, data presentation) impact study interpretation.
- A flexible approach to presenting economic data is recommended.
Conclusions:
- Economic studies in asthma must acknowledge the diverse needs of decision-makers.
- Flexibility in presenting disaggregated cost and consequence data alongside incremental cost-effectiveness ratios is essential.
- Future economic evaluations should prioritize adaptable reporting to maximize utility in healthcare policy.
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