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A framework for assessing Health Economic Evaluation (HEE) quality appraisal instruments
1Institute of Health Economics and Health Care Management, Munich School of Management, Ludwig-Maximilians Universität München, Munich, Germany. astrid-langer@gmx.de
BMC Health Services Research
|August 17, 2012
Summary
A new framework assesses health economic evaluation (HEE) quality appraisal instruments, revealing variable quality in existing tools. This framework aims to improve HEE appraisal instrument development and identify methodological deficiencies.
Area of Science:
- Health Economics
- Health Services Research
- Methodology
Background:
- Health economic evaluations (HEE) inform healthcare decisions by analyzing intervention costs and consequences.
- Quality appraisal instruments are used to assess HEE studies, but tools to evaluate these appraisal instruments are lacking.
- Existing HEE quality appraisal instruments may have inherent methodological deficiencies.
Purpose of the Study:
- To establish a framework for assessing the quality of HEE quality appraisal instruments.
- To improve the quality and acceptance of HEE quality appraisal instruments.
- To test the framework and demonstrate shortcomings of current HEE appraisal instruments.
Main Methods:
- A deductive iterative process was employed, adapting appraisal tools used for clinical guidelines.
- Literature searches identified relevant clinical guideline appraisal instruments.
- Consolidation and adaptation of identified tools formed the final quality assessment framework.
Main Results:
- A 36-item quality assessment framework organized into 7 dimensions was developed.
- The framework was applied to four existing HEE quality appraisal instruments.
- Variable quality was found among the assessed HEE quality appraisal instruments.
Conclusions:
- The developed framework serves as a starting point for appraising HEE quality appraisal instruments.
- Producers can use this framework to enhance existing and future HEE appraisal instruments.
- Users can identify methodological deficiencies in HEE quality appraisal instruments through framework application.
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