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Defining types of economic evaluation.

Surachat Ngorsuraches1

  • 1Faculty of Pharmaceutical Sciences, Prince of Songkla University, Hatyai, Songkhla 90112, Thailand. surachat.n@psu.ac.th

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
|March 4, 2009
PubMed
Summary

The study recommends Cost-Utility Analysis (CUA) as the primary economic evaluation method for Thailand's health technology assessment (HTA) guideline. Cost-Effectiveness Analysis (CEA) is a suitable alternative when only intermediate outcomes are available.

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Area of Science:

  • Health Economics
  • Health Technology Assessment
  • Decision Science

Background:

  • Economic evaluation is crucial for resource allocation in healthcare.
  • International health technology assessment (HTA) guidelines offer diverse approaches to economic evaluation.
  • Thailand requires a standardized framework for economic evaluation within its HTA process.

Purpose of the Study:

  • To recommend appropriate types of economic evaluation for the Thai HTA guideline.
  • To inform the development of evidence-based healthcare policy in Thailand.

Main Methods:

  • Exploration of various economic evaluation types, including their theoretical underpinnings.
  • Review of international economic evaluation guidelines from different countries.
  • Synthesis of findings to formulate recommendations for Thailand.

Main Results:

  • Four main types of economic evaluation exist: Cost-Benefit Analysis (CBA), Cost-Minimization Analysis (CMA), Cost-Effectiveness Analysis (CEA), and Cost-Utility Analysis (CUA).
  • International guidelines predominantly favor CEA and CUA.
  • Economic evaluation theories are rooted in welfare and extra-welfare economics.

Conclusions:

  • Cost-Utility Analysis (CUA) is recommended as the preferred method for the Thai HTA guideline.
  • Cost-Effectiveness Analysis (CEA) is a viable alternative, particularly when intermediate outcomes are the primary data available.