[EQ] The use of economic evaluations in decision-making

The use of economic evaluations in NHS decision-making:
a review and empirical investigation

 

I Williams, S McIver, D Moore and S Bryan

Health Technology Assessment 2008; Vol. 12: No. 7 – April 2008

 

Available online PDF [210p.] at:

http://www.hta.nhs.uk/fullmono/mon1207.pdf

 

Review methods: A systematic review of existing reviews on the use of economic evaluations in policy decision-making, of health and non-health literature on the use of economic analyses in policy making and of studies identifying actual or perceived barriers to the use of economic evaluations was undertaken. Five UK case studies of committees from four local and one national organisation [the Technology Appraisal Committee of the National Institute for Health and Clinical Excellence (NICE)] were conducted. Local case studies were augmented by documentary analysis of new technology request forms and by workshop

discussions with members of local decision-making committees.

 

Conclusions: This study suggests that research is needed into structures, processes and mechanisms by which technology coverage decisions can and should be made in healthcare. Further development of ‘resource centres’ may be useful to provide independent published analyses in order to support local  decisionmakers.

Improved methods of economic analyses and of their presentation, which take account of the concerns of their users, are needed. Finally, the findings point to the need for further assessment of the feasibility and value of a formal process of clarification of the objectives that we seek from investments in healthcare….”

 

Content:

Executive summary

1 Introduction

The problem to be addressed

Research questions

2 Methods

Defining research terms

Research strategy

Systematic review

Case studies

3 Results from the systematic review

4 Results from local research

5 Results from the NICE case study

6 Discussion

7 Conclusions

References

Appendix

 

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