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Area of Science:

  • Health Economics
  • Operations Research
  • Health Technology Assessment

Background:

  • Healthcare resource constraints significantly affect care delivery, costs, and outcomes.
  • Inadequate consideration of these constraints in economic evaluations leads to suboptimal decision-making regarding health technologies.

Purpose of the Study:

  • To provide an overview of healthcare resource constraints and their effects.
  • To introduce a framework for incorporating resource constraints into economic evaluations.
  • To raise awareness among decision-makers about limitations in resource-constrained systems.

Main Methods:

  • Literature review and advisory group feedback to identify constraint categories.
  • Development of a framework based on operations research and health economics principles.
  • Outlining methodological considerations for integrating constraints into evaluations.

Main Results:

  • Identified three categories of resource constraints: single-use, reusable, and patient throughput.
  • Proposed a comprehensive framework with steps and methodological considerations for incorporating constraints.
  • Highlighted the need for more accurate and realistic assessments of health interventions.

Conclusions:

  • Economic evaluations must account for healthcare resource constraints for accurate value assessment.
  • Health technology assessment agencies should provide guidance on incorporating constraints.
  • Comprehensive economic assessments are crucial for fully capturing intervention value in constrained systems.