Abstract
In a review recently published in this journal, Grutters et al outline the scope and impact of their early health economic modelling of healthcare innovations. Their reflections shed light on ways that health economists can shift-away from traditional reimbursement decision-support, towards a broader role of facilitating the exploration of existing care pathways, and the design of options to implement or discontinue healthcare services. This is a crucial role in organisations that face constant pressure to react and adapt with changes to their existing service configurations, but where there may exist significant disagreement and uncertainty on the extent to which change is warranted. Such dynamics are known to create complex implementation environments, where changes risk being poorly implemented or fail to be sustained. In this commentary, we extend the discussion by Grutters et al on early health economic modelling, to the evaluation of complex interventions and systems. We highlight how early health economic modelling can contribute to a participatory approach for ongoing learning and development within healthcare organisations.
Highlights
*Correspondence to: Andrew Partington Email: andrew.partington@flinders.edu.au. In presenting their experience in the use of early health economic modelling, Grutters et al describe the “... shift away from the traditional use of health economic modelling ... towards exploring what is needed for a technology to provide most value for money.”[1]. This concluding message echoes that of a recent review by Scotland and Bryan, who sought to challenge our traditional “technology evaluator” approach and advocated for an updated “searchers for efficiency” role.[2]
Health economists working in such a role are tasked with shifting the focus of decision-makers away from binary go/ no-go decisions, to instead developing a better and shared understanding of the conditions under which interventions may represent value-for-money
We outline the usefulness of early health economic modelling; and highlight important methodological considerations regarding uncertainty
Summary
In presenting their experience in the use of early health economic modelling, Grutters et al describe the “... shift away from the traditional use of health economic modelling ... towards exploring what is needed for a technology to provide most value for money.”[1]. Background In presenting their experience in the use of early health economic modelling, Grutters et al describe the “...
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