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Trial-Based Economic Evaluations Conducted alongside Studies Embedded in Australian Healthcare Services and Programs:
Belinda Wang1,2, Catherine Sherrington3,4, Luiza R Pivotto3,4
1Institute for Musculoskeletal Health, Sydney Local Health District, Sydney, NSW, Australia. belinda.wang@sydney.edu.au.
Pharmacoeconomics - Open
|April 12, 2026
Summary
This review maps economic evaluations (EEs) in Australian healthcare, finding most focus on cost-effectiveness. Future research should broaden perspectives and include rural populations for better policy insights.
Area of Science:
- Health Economics
- Health Services Research
- Public Health Policy
Background:
- Economic evaluations (EEs) are crucial for understanding healthcare intervention value.
- Australian healthcare services and programs require comprehensive economic assessments.
- Previous literature mapping of EEs in this context is limited.
Purpose of the Study:
- To conduct a scoping review of EEs within Australian healthcare services and programs.
- To provide an overview of the volume, characteristics, and types of EEs.
- To examine EEs for older Australians in depth, including quality.
Main Methods:
- Scoping review of full trial-based EEs in Australian healthcare.
- Searched multiple databases (Medline, Informit, Web of Science, etc.) up to May 2025.
- Quality assessed using the Consensus Health Economic Criteria (CHEC-list).
Main Results:
- Identified 107 EEs across 86 studies; cost-effectiveness analyses (CEA) were most common (50%).
- 38 EEs focused on older adults, frequently using CEA (42%) and a health system perspective (29%).
- Most interventions were more costly and effective (43%) or less costly and effective (41%); median quality score was 16/19.
Conclusions:
- Diverse intervention types and evaluation methods were identified, with a need for more cost-benefit analyses.
- Evaluations predominantly occurred in metropolitan settings, often omitting broader costs like aged care for older adults.
- Future research should include rural populations, adopt broader perspectives, and capture full intervention value for policy.
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