Economic Evaluation and Health Technology Assessment

Our Unit has conducted a range of economic evaluations, and participates in Health Technology Assessment for decision makers.

Economic Evaluation

Overview

Economic evaluation is closely related to health economics. Economic evaluation generates evidence-based information, mainly through cost-effectiveness analysis or cost-benefit analysis, to assist and improve decision making of allocating health care resources. All public health decisions have resource implementations and it is critical to consider these when making decisions.

Our Unit has conducted a range of economic evaluations on randomized control trials, registries and cohort studies. We have also evaluated the population health and health care cost implications of interventions that aim to prevent disease by addressing common lifestyle risk factors, such as smoking, alcohol misuse, poor diet and physical inactivity. In addition, we also provide methodological research to improve economic evaluations across a range of areas.

Health Technology Assessment

Overview

Health Technology Assessment (HTA) involves undertaking an assessment of effectiveness and cost-effectiveness to inform health care funding decisions. New technologies such as pharmaceuticals, medical or surgical procedures, prostheses, devices, screening and diagnostic tests can be evaluated. The aim of HTA is to provide information to decision makers to enable them to make decisions about costs, benefits and the value of funding health technologies.

The Health Economics Unit has previous experience providing HTA to the National Institute for Health and Care Excellence (NICE) in the UK and the Pharmaceutical Benefits Scheme (PBS) and the Medical Benefits Scheme (MBS) in Australia. The Unit currently provides assessment of medical services for the Department of Health. Once assessment is completed it is available on the Department of Health website.

The leader of the HTA research area is Dr Kim Dalziel. For any queries, please contact Michelle Tew.

Projects

Improving cost-effectiveness analysis of childhood vaccines

General Practice Optimising Structured Monitoring to Improve Clinical outcomes in Type 2 Diabetes: GP-OSMOTIC T2D.

Developing an Australian-first recovery model for parents in Victorian mental health and family services.

MUMsize: Association between maternal size and outcomes for caesarean section: a multicentre, prospective observational study.

Selected Publications

Economic Evaluation

CARVALHO N, Jit M, Cox S, Yoong J, and Hutubessy RCW. Capturing budget impact considerations within economic evaluations: A systematic review of economic evaluations of rotavirus vaccine in low- and middle-income countries and a proposed assessment framework. Pharmacoeconomics. 2017 Sep 13. doi: 10.1007/s40273-017-0569-2.

Ong, J. J., Fairley, C. K., Carroll, S., Walker, S., Chen, M., Read, T., ... & CLARKE, P. (2016). Cost-effectiveness of screening for anal cancer using regular digital ano-rectal examinations in men who have sex with men living with HIVJournal of the International AIDS Society, 19(1).

Johnson, D. W., Pascoe, E. M., Badve, S. V., DALZIEL, K., Cass, A., CLARKE, P., ... & Perkovic, V. (2015). A randomized, placebo-controlled trial of pentoxifylline on erythropoiesis-stimulating agent hyporesponsiveness in anemic patients with CKD: the Handling Erythropoietin Resistance With Oxpentifylline (HERO) trial. American Journal of Kidney Diseases, 65(1), 49-57.

DALZIEL, K., Dawe, S., Harnett, P. H., & Segal, L. (2015). Cost‐Effectiveness Analysis of the Parents under Pressure Programme for Methadone‐Maintained Parents. Child Abuse Review, 24(5), 317-331.

Blakely, T., COBIAC, LJ., Cleghorn, CL., Pearson, AL., van der Deen, FS., Kvizhinadze, G., ... & Wilson, N. (2015). Health, health inequality, and cost impacts of annual increases in tobacco tax: Multistate life table modeling in New Zealand. PLoS Med, 12(7), e1001856.

Farmer, AJ., Stevens, R., Hirst, J., LUNG, T., Oke, J., CLARKE, P., Glasziou, P., Neil, A., Dunger, D., Colhoun, HM., Pugh, C., Wong, G., Perera, R., & Shine, B. (2014). Optimal strategies for identifying kidney disease in diabetes: properties of screening tests, progression of renal dysfunction and impact of treatment - systematic review and modelling of progression and cost-effectiveness.Health Technology Assessment, 18(14).

Brinn, M., DALZIEL, K., Carson, K., Esterman, A., & Smith, B. (2013). Cost-effectiveness of an inpatient smoking cessation intervention for patients with tobacco related illness (STOP trial): A multi-centre RCT. Respirology, 18(16-16).

Health Technology Assessment

Segal, L., DALZIEL, K., & Mortimer, D. (2010). Fixing the game: are between‐silo differences in funding arrangements handicapping some interventions and giving others a head‐start? Health Economics, 19(4), 449-465.

DALZIEL, K., Round, A., Stein, K., Garside, R., Castelnuovo, E., & Payne, L. (2005). Do the findings of case series studies vary significantly according to methodological characteristics? Health Technology Assessment, 9(2), 1-146.

DALZIEL, K.., Round, A., Stein, K., Garside, R., & Price, A. (2004). Effectiveness and cost-effectiveness of imatinib for first-line treatment of chronic myeloid leukaemia in chronic phase: a systematic review and economic analysisHealth Technology Assessment, 8(28), 1-120.