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Can economic evaluations be made more transferable?

Stephanie Boulenger¹, John Nixon, Michael Drummond

¹Collège des Economistes de la Santé, Paris, France.

The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care

|October 27, 2005

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This study developed checklists to assess the generalisability and transferability of economic evaluations. Findings highlight areas needing improvement for more reliable cost-effectiveness results across different healthcare systems.

Area of Science:

Health Economics
Health Technology Assessment
Evidence Synthesis

Background:

Economic evaluations often lack generalisability and transferability.
This limits the applicability of findings across different settings.

Purpose of the Study:

Develop checklists to assess generalisability and transferability of economic evaluations.
Evaluate transferability between the UK and France.
Identify areas for improvement and reporting standards.

Main Methods:

Checklist development based on existing work and databases (NHS EED, CODECS).
Validation with Health Economists (EURONHEED project).
Empirical assessment of 25 economic evaluations between the UK and France.

Related Experiment Videos

Main Results:

Developed extended (42 items) and sub-checklists (16 items).
Mean scores indicate room for improvement (66.9% on extended checklist).
Key areas needing attention include costing, author assessments, data variability, discounting, population, and effectiveness reporting.

Conclusions:

Developed checklists are valuable tools for assessing economic evaluation generalisability.
Authors need to improve reporting detail for enhanced transferability.
Databases and journals should systematically assess generalisability and transferability.