Identifying Priority Methodological Issues in Economic Evaluation in Low- and Middle-Income Countries: Finding the Holy Grail

Abstract

There is increasing demand for economic evaluation in healthcare policy making. However, the use of economic evaluation studies is limited, especially in low- and middle-income countries (LMICs). A literature review found that methodological quality is lower in LMICs than in high-income countries which limits the use of this kind of study. This project was initiated through the international Decision Support Initiative (iDSI) in order to identify the issues that limit the quality and the use of economic evaluations. From the priority list of issues finalized from the study, potential solutions and research questions were derived on how to solve the issues.