343082

Economic Evaluation for Health Interventions: Narrative Review

Article

Last updated: 03 Jan 2025

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Abstract

Costs and benefits should be considered alongside each other so that decisions can be made regarding the efficient delivery of scarce health care resources. So, if costs are high, benefit might also be large. Similarly, no health intervention can be efficient just because it is of low cost. An intervention may be of low cost and have no benefits. So, the important question when informing efficient decision making is how to compare costs and benefits associated with alternative interventions with each other. This is where economic evaluations are used. Types of economic evaluation are: (1) cost effectiveness analysis (CEA) which uses uni-dimensional measures of benefit (expressed in health units) and as such is generally used to address questions of technical efficiency; (2) Cost Minimization Analysis (CMA) which is considered to be a special case of CEA where alternative interventions are equivalent in terms of effectiveness and are compared only in terms of cost; (3) Cost-utility analysis (CUA) in which outcomes are considered in terms of changes in both quality and quantity of life. Here a cost per quality adjusted life years (QALY) ratio is estimated. The advantage of using this broader form of analysis is that it can address questions of both technical and allocative efficiency across various health producing programs; (4) Cost benefit analysis (CBA) expresses benefits and costs in monetary terms. By allowing costs to be compared directly to benefits, CBA is able to address questions of allocative efficiency (both within and beyond the health sector).

DOI

10.21608/jhiph.2024.343082

Keywords

Economic-evaluation, cost-benefit, cost-utility, Cost-effectiveness, health-interventions

Authors

First Name

Rasha

Last Name

Mosallam

MiddleName

A.

Affiliation

Department of Health Administration and Behvioral Sciences, High Institute of Public Health, Alexandria University, Egypt

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Volume

53

Article Issue

3

Related Issue

46636

Issue Date

2023-12-01

Receive Date

2024-02-25

Publish Date

2023-12-01

Page Start

126

Page End

132

Print ISSN

2357-0601

Online ISSN

2357-061X

Link

https://jhiphalexu.journals.ekb.eg/article_343082.html

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https://jhiphalexu.journals.ekb.eg/service?article_code=343082

Order

5

Type

Review Article

Type Code

512

Publication Type

Journal

Publication Title

Journal of High Institute of Public Health

Publication Link

https://jhiphalexu.journals.ekb.eg/

MainTitle

Economic Evaluation for Health Interventions: Narrative Review

Details

Type

Article

Created At

23 Dec 2024