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Essential notion of the health economic evaluation: Definition

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  • Alexei Botchkarev

    (Ryerson University, Toronto, Ontario, Canada)

Abstract

Background Economic evaluation (EE) is a dynamically advancing knowledge area of health economics. It has been conceived to provide evidence for allocating scarce resources to gain the best value for money. The problem of efficiency of investments becomes even more crucial with advances in modern medicine and public health which bring about both improved patient outcomes and higher costs. Despite the abundance of literature on the EE concepts, some key notions including the definition of the economic evaluation remain open for discussion. Academic literature offers a large number and growing variety of EE definitions. It testifies to the fact that existing definitions do not meet economists’ requirements and they choose to create new definitions.Methods. The aim of this study is to explore existing definitions, identify knowledge gaps and formulate a comprehensive EE definition. Several methodologies were used to achieve the research objective: identification of related peer-reviewed papers using Google Scholar and EBSCO databases (e.g. MEDLINE Complete, CINAHL Complete, Health Business Elite, Health Policy Reference Center, Business Source Complete), critical literature review, critical thinking and inductive reasoning. Results. The study identified and examined 60 existing non-identical EE definitions, revealed their common focus points and grouped them into 8 clusters. Conclusions.Revealed common focus points were compared with the widely-accepted EE definition by Professor Michael Drummond and integrated in a comprehensive EE definition. A new, comprehensive definition of EE has been proposed.

Suggested Citation

  • Alexei Botchkarev, 2016. "Essential notion of the health economic evaluation: Definition," Economic Analysis Working Papers (2002-2010). Atlantic Review of Economics (2011-2016), Colexio de Economistas de A Coruña, Spain and Fundación Una Galicia Moderna, vol. 2, pages 1-1, December.
    • Handle: RePEc:eac:articl:17/15
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    References listed on IDEAS

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    1. Paul Revill & Jessica Ochalek & James Lomas & Ryota Nakamura & Beth Woods & Alexandra Rollinger & Marc Suhrcke & Mark Sculpher & Karl Claxton & Peter Berman, 2020. "Cost-Effectiveness Thresholds: Guiding Health Care Spending for Population Health Improvement," World Scientific Book Chapters, in: Paul Revill & Marc Suhrcke & Rodrigo Moreno-Serra & Mark Sculpher (ed.), Global Health Economics Shaping Health Policy in Low- and Middle-Income Countries, chapter 3, pages 75-97, World Scientific Publishing Co. Pte. Ltd..
    2. Rogers, Patricia J. & Stevens, Kaye & Boymal, Jonathan, 2009. "Qualitative cost-benefit evaluation of complex, emergent programs," Evaluation and Program Planning, Elsevier, vol. 32(1), pages 83-90, February.
    3. Mondher Toumi & Cécile Rémuzat & Emna El Hammi & Aurélie Millier & Samuel Aballéa & Christos Chouaid & Bruno Falissard, 2015. "Current process and future path for health economic assessment of pharmaceuticals in France," Post-Print hal-01772997, HAL.
    4. Nicola J. Cooper & Alex J. Sutton & Keith R. Abrams & David Turner & Allan Wailoo, 2004. "Comprehensive decision analytical modelling in economic evaluation: a Bayesian approach," Health Economics, John Wiley & Sons, Ltd., vol. 13(3), pages 203-226, March.
    5. Drummond, Michael F. & Sculpher, Mark J. & Claxton, Karl & Stoddart, Greg L. & Torrance, George W., 2015. "Methods for the Economic Evaluation of Health Care Programmes," OUP Catalogue, Oxford University Press, edition 4, number 9780199665884.
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