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Standardizing methodologies for economic evaluation in health care. Practice, problems, and potential

M Drummond1, A Brandt, B Luce

  • 1University of York.

International Journal of Technology Assessment in Health Care
|January 1, 1993
PubMed
Summary

Standardizing health care economic evaluation methods can improve study quality and comparisons. However, this may hinder methodological innovation, requiring careful consideration of benefits and drawbacks.

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Area of Science:

  • Health economics
  • Health services research
  • Decision sciences

Background:

  • Growing body of literature on health care economic evaluations.
  • Increasing influence of economic studies on healthcare decision-making.
  • Need for consistent methods to ensure quality and comparability.

Purpose of the Study:

  • Review arguments for and against standardizing economic evaluation methods.
  • Assess existing attempts at standardization.
  • Identify areas of consensus and divergence in methods.
  • Provide recommendations for future work.

Main Methods:

  • Literature review of economic evaluation standards.
  • Analysis of arguments for and against standardization.

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  • Assessment of current standardization efforts.
  • Synthesis of agreement and disagreement on methods.

    • Main Results:

    • Standardization offers benefits like improved quality and comparability.
    • Concerns exist regarding potential stifling of methodological innovation.
    • Areas of agreement and disagreement on methods have been identified.
    • Previous standardization attempts have had mixed success.

    Conclusions:

    • Balancing standardization with methodological flexibility is crucial.
    • Further work is needed to refine standards for economic evaluations.
    • Careful implementation can enhance the utility of economic evaluations in healthcare.
    • Recommendations focus on maintaining scientific rigor while fostering innovation.