Download or read book Usefulness of Economic Evaluation Data in Systematic Reviews of Evidence written by U. S. Department of Health and Human Services and published by CreateSpace. This book was released on 2013-04-09 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many health care policymakers in the U.S. would like to make more use of economic data in reviewing new and existing medical interventions. Although much work is being done to evaluate the comparative effectiveness of medical interventions even this technique is not used extensively in policymaking. The U.S. has fallen behind international best practices in using economic data in the comparison of medical interventions for the purposes of policymaking. Systematic reviews of evidence offer opportunities to increase the use of economic data in the health policy process. Among the systematic reviews that have been conducted recently, there is great inconsistency in whether economic evidence is collected alongside clinical research data, the quality of the data collected, and the methods used to collect the data. In many cases, clinical research data may be sufficient for making decisions about adopting interventions. However, we need to explore and define better the information that is needed to guide those who are in charge of making requests for systematic reviews of evidence. More information is needed about: (a) when economic data might add to decisionmaking on top of the efficacy/effectiveness data presented in typical systematic reviews, and (b) if economic data are helpful, what methods should be used to include this information. Such information could guide future calls for systematic reviews of evidence. More information on best approaches for the inclusion of economic data alongside systematic reviews of clinical evidence will also benefit those responsible for producing systematic reviews. At present, many systematic reviews of evidence do not include economic evidence. Even if efforts are made to review the economic evidence, economic evidence often is insufficient to treat it in the same way that meta-analytic techniques can be applied to other pieces of evidence. Further, some economic evidence concerns primary data while other economic evidence is derived from more or less standardized and protocol-based approaches based on mathematical modeling. Investigators involved in performing systematic reviews need better guidance for making requests for economic evidence alongside other systematic reviews of evidence, with careful definitions of terms. This report has two aims. The first aim is to develop a conceptual framework for deciding when economic outcomes could provide policy-relevant information when included in systematic reviews of clinical outcomes. In the last of a series of works on grading of recommendations, the authors began a discussion about including resource use (a key input into costs and other economic considerations) in the grading of recommendations. When deciding on what to include in an economic evaluation component of a systematic review, the analyst needs a frame of reference. This report provides a conceptual framework that can guide the choice of perspective, the target or reference populations, and the assessment of generalizability. The framework also demonstrates how the interaction of these choices has important implications for the conduct of the analysis. The framework was developed by a multidisciplinary team that developed a draft framework and shared that framework with experts in cost-effectiveness analysis and public policy who reviewed and provided feedback before the framework was finalized. The second aim of this report is to define tradeoffs between incorporating previously completed “off-the-shelf” evaluations from the published or grey literature into systematic reviews, versus performing an explicit independent economic evaluation as part of a systematic review. The evaluation of the tradeoffs between the choices is based on theoretical and conceptual arguments, the availability of data, and nature of expected results.

Download or read book Assessing the Impact of Economic Evidence on Policymakers in Health Care written by and published by . This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Assessing the Impact of Economic Evidence on Policymakers in Health Care written by U. S. Department of Health and Human Services and published by Createspace Independent Publishing Platform. This book was released on 2013-03-19 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt: Economic evidence contributes to the organization of efficient health care and to the promotion of the best health outcomes within budgetary constraints. Despite some inherent limitations, its importance has increased across the globe amid growing concern over the rise in the costs of health care. In the United States, this is coupled with a Federal presence in health policy regulation and financing, leading to reconsideration of the role of economic and clinical evidence in decisionmaking by leading actors. In the United States, the comparative effectiveness of medical interventions undergoes rigorous evaluation. However, there is limited use of economic data in comparing health interventions and creating rational policy in the United States when compared with best practices in other high-income countries. This is despite repeated calls for integrating economic evaluation data routinely into the U.S. health care policy process. The economic evidence about health care interventions refers to such characteristics as cost, price elasticity, efficiency, and value data, either collected empirically or synthesized in economic modeling.19 Economic evaluation combines economic data, such as cost-utility ratios, net monetary benefit, and total budget impact estimates, leading to summary economic information on the characteristics of interventions. Examples are a cost-utility ratio, a cost-effectiveness ratio, the net monetary benefit, or a total budget impact estimate. Cost-effectiveness analysis is a specific type of formalized economic evaluation commonly used in the consideration of economic evidence in health care. It typically focuses on the incremental changes in costs and health benefits after the introduction of a medical intervention as compared to an initial situation, and is meant to aid rational decisionmaking. This type of analysis has become the most common mechanism for generating economic evidence in decisionmaking both inside and outside the United States. Evidence from systematic reviews of clinical outcomes presently plays an established role in determining the comparative effectiveness of medical interventions and is useful in developing clinical practice guidelines, making efficacy-based coverage decisions, and in formulating general health policy. The processes of searching for and summarizing the results of studies have been standardized with the goal of demonstrating clinical efficacy and effectiveness in a uniform way, using all available information. Systematic reviews may also be valuable in evaluating the economic impact of introducing interventions. Around the world, standardized guides have been developed to conduct state-of-the-art economic evaluations, to include economic data in systematic reviews, to systematically review economic data, and to use systematic reviews to inform economic evaluations. In the United States, however, the systematic inclusion of economic outcomes and the review of economic data in systematic reviews to inform health policy is not standardized as is already the case for clinical outcomes.

Download or read book Cochrane Handbook for Systematic Reviews of Interventions written by Julian P. T. Higgins and published by Wiley. This book was released on 2008-11-24 with total page 672 pages. Available in PDF, EPUB and Kindle. Book excerpt: Healthcare providers, consumers, researchers and policy makers are inundated with unmanageable amounts of information, including evidence from healthcare research. It has become impossible for all to have the time and resources to find, appraise and interpret this evidence and incorporate it into healthcare decisions. Cochrane Reviews respond to this challenge by identifying, appraising and synthesizing research-based evidence and presenting it in a standardized format, published in The Cochrane Library (www.thecochranelibrary.com). The Cochrane Handbook for Systematic Reviews of Interventions contains methodological guidance for the preparation and maintenance of Cochrane intervention reviews. Written in a clear and accessible format, it is the essential manual for all those preparing, maintaining and reading Cochrane reviews. Many of the principles and methods described here are appropriate for systematic reviews applied to other types of research and to systematic reviews of interventions undertaken by others. It is hoped therefore that this book will be invaluable to all those who want to understand the role of systematic reviews, critically appraise published reviews or perform reviews themselves.

Download or read book Best Practices for Conducting Economic Evaluations in Health Care written by U. S. Department of Health and Human Services and published by Createspace Independent Pub. This book was released on 2013-03-19 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt: Guidelines exist for the conduct and review of economic evaluations. In the United States, the systematic review of economic outcomes and the inclusion of economic data in systematic reviews have not been standardized as much as is the case for clinical outcomes. The lack of standardization leads to large variation in the quality of economic evaluations and in the use of economic data in systematic reviews. This suggests a need to establish some standards in the United States. Systematic reviews play a critical role in determining the comparative effectiveness of medical interventions and are critical for developing clinical practice guidelines, efficacy-based coverage decisions, and general health policy. As such, the processes of searching for and summarizing studies illustrating clinical efficacy and effectiveness have been streamlined in the United States and elsewhere. While much work is being done to evaluate the comparative effectiveness of medical interventions, the United States has fallen behind international best practices in using economic data in the comparison of medical interventions for the purposes of policymaking. With increased awareness of the importance of evaluating value for money in health care, the number of published economic evaluations has increased in recent years. As more economic analyses are produced, researchers and policymakers need to have methods to synthesize and interpret the results of multiple analyses that address a single issue; systematic review offers a framework for doing this. However, systematic reviews of economic analyses pose special challenges for those who perform reviews and those who use them. Traditional techniques of meta-analysis are not appropriate for many economic analyses, which are often syntheses, as in the case of economic modeling studies, and hence should not be combined as one might combine the results of different randomized controlled trials. Instead, systematic reviews of economic modeling studies are most useful for comparing and contrasting how different investigators have chosen to structure their models and estimate key variables. They can also clarify how results differ between studies based on these different assumptions. Identifying sources of variation across studies can help individual decisionmakers determine which studies best apply to their particular settings and can guide future research by identifying areas of uncertainty. A little over a decade ago, health economists had “not yet developed a formal methodology for reviewing and summing up evidence from individual economic evaluations…or indeed for assessing whether systematic reviews are possible in this context.” Today, there are as yet no widely validated methodological criteria to be applied to screening economic studies for inclusion in systematic reviews. The difficulty with developing systems to evaluate best practices for conducting economic evaluations is that each economic evaluation faces a potentially unique set of constraints relative to gold standard sets of recommendations. Systems proposed to date have listed criteria for the assessment of economic evaluations, yet have hardly tested comparative rating and weighting of technical criteria. This comparative weighting and the need to determine whether strength in one area can offset a deficiency in another will be critical to the success of the system that is developed. However, it is not clear that systems that will result in a relative ranking of studies that are not perfect can provide anything other than an approximate estimate of the comparative validity of differing results. Nevertheless, there is unquestionably an urgent need for improving the design, analysis and reporting of economic evaluations in health care. The aim of this paper is to review the strengths and weaknesses of checklists that have been used to evaluate best practices for conducting economic evaluations in health care.

Download or read book Finding What Works in Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 2011-07-20 with total page 267 pages. Available in PDF, EPUB and Kindle. Book excerpt: Healthcare decision makers in search of reliable information that compares health interventions increasingly turn to systematic reviews for the best summary of the evidence. Systematic reviews identify, select, assess, and synthesize the findings of similar but separate studies, and can help clarify what is known and not known about the potential benefits and harms of drugs, devices, and other healthcare services. Systematic reviews can be helpful for clinicians who want to integrate research findings into their daily practices, for patients to make well-informed choices about their own care, for professional medical societies and other organizations that develop clinical practice guidelines. Too often systematic reviews are of uncertain or poor quality. There are no universally accepted standards for developing systematic reviews leading to variability in how conflicts of interest and biases are handled, how evidence is appraised, and the overall scientific rigor of the process. In Finding What Works in Health Care the Institute of Medicine (IOM) recommends 21 standards for developing high-quality systematic reviews of comparative effectiveness research. The standards address the entire systematic review process from the initial steps of formulating the topic and building the review team to producing a detailed final report that synthesizes what the evidence shows and where knowledge gaps remain. Finding What Works in Health Care also proposes a framework for improving the quality of the science underpinning systematic reviews. This book will serve as a vital resource for both sponsors and producers of systematic reviews of comparative effectiveness research.

Download or read book Systematic Reviews in Educational Research written by Olaf Zawacki-Richter and published by Springer Nature. This book was released on 2019-11-21 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this open access edited volume, international researchers of the field describe and discuss the systematic review method in its application to research in education. Alongside fundamental methodical considerations, reflections and practice examples are included and provide an introduction and overview on systematic reviews in education research.

Download or read book Handbook of EHealth Evaluation written by Francis Yin Yee Lau and published by . This book was released on 2016-11 with total page 487 pages. Available in PDF, EPUB and Kindle. Book excerpt: To order please visit https://onlineacademiccommunity.uvic.ca/press/books/ordering/

Download or read book Systematic Reviews written by and published by . This book was released on 2009 with total page 281 pages. Available in PDF, EPUB and Kindle. Book excerpt: For adults. There is a pressing need for methodologically sound RCTs to confirm whether such interventions are helpful and, if so, for whom.

Download or read book Synthesizing Economic Evidence written by Catalin Tufanaru and published by . This book was released on 2011 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Systematic Reviews in Health Care written by Matthias Egger and published by John Wiley & Sons. This book was released on 2008-04-15 with total page 512 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of this best-selling book has been thoroughly revised and expanded to reflect the significant changes and advances made in systematic reviewing. New features include discussion on the rationale, meta-analyses of prognostic and diagnostic studies and software, and the use of systematic reviews in practice.

Download or read book Economic Evaluation in Education written by Henry M. Levin and published by SAGE Publications. This book was released on 2017-06-15 with total page 212 pages. Available in PDF, EPUB and Kindle. Book excerpt: The past decade has seen increased attention to cost-effectiveness and benefit-cost analysis in education as administrators are being asked to accomplish more with the same or even fewer resources, philanthropists are keen to calculate their "return on investment" in social programs, and the general public is increasingly scrutinizing how resources are allocated to schools and colleges. This text (titled Cost-Effectiveness Analysis in its previous editions) is the only full-length book to provide readers with the step-by-step methods they need to plan and implement a benefit-cost analysis in education. The authors examine a range of issues, including how to identify, measure, and distribute costs; how to measure effectiveness, utility, and benefits; and how to incorporate cost evaluations into the decision-making process. The updates to the Third Edition reflect the considerable methodological development in the evaluation literature, and the greater empiricism practiced by education researchers, to help readers learn to apply more advanced methods to their own analyses. SAGE congratulates author Henry M. Levin, winner of the 2017 AERA Distinguished Contributions to Research in Education Award.

Download or read book Artificial Intelligence in Healthcare written by Lalit Garg and published by Springer Nature. This book was released on 2021-10-29 with total page 157 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book highlights the analytics and optimization issues in healthcare systems, proposes new approaches, and presents applications of innovative approaches in real facilities. In the past few decades, there has been an exponential rise in the application of swarm intelligence techniques for solving complex and intricate problems arising in healthcare. The versatility of these techniques has made them a favorite among scientists and researchers working in diverse areas. The primary objective of this book is to bring forward thorough, in-depth, and well-focused developments of hybrid variants of swarm intelligence algorithms and their applications in healthcare systems.

Download or read book Cost Effectiveness in Health and Medicine written by Peter J. Neumann and published by Oxford University Press. This book was released on 2016-10-17 with total page 537 pages. Available in PDF, EPUB and Kindle. Book excerpt: Preceded by: Cost-effectiveness in health and medicine / edited by Marthe R. Gold ... [et al.]. New York: Oxford University Press, 1996.

Download or read book Evidence Based Health Economics written by Miranda Mugford and published by . This book was released on 2014-05-28 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text recognises the need for evidence-based principles in economic evaluation, and that they should be based themselves on health economics. It discusses systematic review in economic analysis and suggests how to perform analyses in an evidence-based way.

Download or read book Applied Health Economics for Public Health Practice and Research written by Rhiannon Tudor Edwards and published by Oxford University Press. This book was released on 2019-03-14 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: In today's world of scare resources, determining the optimal allocation of funds to preventive health care interventions (PHIs) is a challenge. The upfront investments needed must be viewed as long term projects, the benefits of which we will experience in the future. The long term positive change to PHIs from economic investment can be seen across multiple sectors such as health care, education, employment and beyond. Applied Health Economics for Public Health Practice and Research is the fifth in the series of Handbooks in Health Economic Evaluation. It presents new research on health economics methodology and application to the evaluation of public health interventions. Looking at traditional as well as novel methods of economic evaluation, the book covers the history of economics of public health and the economic rationale for government investment in prevention. In addition, it looks at principles of health economics, evidence synthesis, key methods of economic evaluation with accompanying case studies, and much more. Looking to the future, Applied Health Economics for Public Health Practice and Research presents priorities for research in the field of public health economics. It acknowledges the role played by natural environment in promoting better health, and the place of genetics, environment and socioeconomic status in determining population health. Ideal for health economists, public health researchers, local government workers, health care professionals, and those responsible for health policy development. Applied Health Economics for Public Health Practice and Research is an important contribution to the economic discussion of public health and resource allocation.

Download or read book Digital Interventions in Mental Health Current Status and Future Directions written by Elias Aboujaoude and published by Frontiers Media SA. This book was released on 2020-04-01 with total page 115 pages. Available in PDF, EPUB and Kindle. Book excerpt: