Abstract
Experts predict global health spending to reach $16.9 trillion by 2050. However, 20% to 40% of all resources invested could be lost due to various forms of project inefficiency. An analysis of the content of three key information resources offering methodological and instrumental support for research aimed at the assessment of the cost-effectiveness of projects implemented in national health care systems was carried out. The resources analyzed were the following: World Health Organization's Choosing Interventions that are Cost-Effective (WHO CHOICE), Guide to economic analysis and research (GEAR) and Disease control priorities (DCP). Each of the information resources provides unique, non-duplicate content that provides decisions making support based on data from assessment of the cost-effectiveness of projects and activities in the healthcare system. WHO-CHOICE uses a “generalized” approach to cost-effectiveness analysis, a standardized methodology that helps measuring the impact of health interventions and identifying priorities for further development. An interactive tool OneHealth, developed based on WHO-CHOICE, provides the ability to simulate a wide range of scenarios, strategies and their combinations. GEAR provides methodological support for cost-effectiveness assessment algorithms, including smart maps for decision-making, a database of practical guidelines and the opportunity to get an expert advice. The DCP provides access to an organized online collection of publications and generates a periodic review of the most relevant evidence on cost-effective interventions to address the burden of disease in the setting of scarce resources. It is concluded that the reviewed information resources effectively summarize international practices in analyzing the costeffectiveness of healthcare projects while still having a number of limitations for use in domestic research. The need to create our own accessible and regularly updated interactive tools for the economic assessment of medical interventions is substantiated, taking into account the national and regional characteristics of the functioning of the Russian Federation healthcare system.
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