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Model Structuring for Economic Evaluations of New Health Technologies
Hossein Haji Ali Afzali1, Laura Bojke2, Jonathan Karnon3
1Health Economics and Policy Unit, School of Public Health, The University of Adelaide, Level 9, Adelaide Health and Medical Sciences Building, Corner of North Terrace and George Street, Adelaide, SA, 5005, Australia. hossein.hajialiafzali@adelaide.edu.au.
This study clarifies key structural aspects and processes for health technology decision analytic models. Documenting model structure and uncertainty enhances transparency and consistency in funding decisions.
Area of Science:
- Health economics
- Decision analysis
- Health technology assessment
Background:
- Decision analytic models are crucial for funding new health technologies in Australia, the UK, and Canada.
- Existing guidelines lack clarity on defining structural aspects, developing model structure, and addressing structural uncertainty.
Purpose of the Study:
- To define key structural aspects and processes in decision analytic model development.
- To provide recommendations for future model structuring in health technology assessment.
- To enhance transparency, comprehensiveness, and consistency in national funding body guidelines.
Main Methods:
- Review of existing reports on good modeling practice.
- Specification of key structural choices in decision analytic models.
- Development of recommendations for future model structuring.
Main Results:
- Identified a lack of clarity in current guidelines regarding model structure definition and development.
- Proposed a framework for specifying key structural choices and addressing structural uncertainty.
- Highlighted the importance of conceptual models in the decision-making process.
Conclusions:
- Standardizing guidelines for model structuring can improve transparency and consistency.
- Systematic documentation of model structuring and sensitivity analysis is recommended for submissions.
- Clearer structural definitions and documentation aid national funding bodies in maximizing value for money.
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