THE ROLE OF ECONOMIC APPRAISAL IN HEALTH TECHNOLOGY-ASSESSMENT - THE AUSTRALIAN CASE

C S Smith; D Hailey; M Drummond

THE ROLE OF ECONOMIC APPRAISAL IN HEALTH TECHNOLOGY-ASSESSMENT - THE AUSTRALIAN CASE

C S Smith, D Hailey, M Drummond

Centre for Health Economics

Research output: Contribution to journal › Article › peer-review

Abstract

This paper examines the role and importance of economic appraisal of health technology in Australia, particularly those appraisals conducted under the auspices of a Federal Committee. Eight specific examples are considered: extracorporeal shock wave lithotripsy, office pathology testing, magnetic resonance imaging, cervical cancer screening, bone mineral assessment, automated implantable cardiac defibrillators, fiver transplantation and extracorporeal membrane oxygenation. It was found that in most cases the appraisal influenced policy, but that it was harder to assess whether there had been changes in practice or final health outcomes. It is concluded that the roles and relationships of the various players in technology assessment need to be clear, that appropriate incentives are required if socially desirable priorities are to be achieved and that the application of economic appraisal techniques needs to be timely and relevant.

Original language	English
Pages (from-to)	1653-1662
Number of pages	10
Journal	Social Science & Medicine
Volume	38
Issue number	12
Publication status	Published - Jun 1994

Keywords

ECONOMIC APPRAISAL
TECHNOLOGY DIFFUSION
RESOURCE ALLOCATION
POLICY
IMPACT USE
IMPACT
CARE

Cite this

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title = "THE ROLE OF ECONOMIC APPRAISAL IN HEALTH TECHNOLOGY-ASSESSMENT - THE AUSTRALIAN CASE",

abstract = "This paper examines the role and importance of economic appraisal of health technology in Australia, particularly those appraisals conducted under the auspices of a Federal Committee. Eight specific examples are considered: extracorporeal shock wave lithotripsy, office pathology testing, magnetic resonance imaging, cervical cancer screening, bone mineral assessment, automated implantable cardiac defibrillators, fiver transplantation and extracorporeal membrane oxygenation. It was found that in most cases the appraisal influenced policy, but that it was harder to assess whether there had been changes in practice or final health outcomes. It is concluded that the roles and relationships of the various players in technology assessment need to be clear, that appropriate incentives are required if socially desirable priorities are to be achieved and that the application of economic appraisal techniques needs to be timely and relevant.",

keywords = "ECONOMIC APPRAISAL, TECHNOLOGY DIFFUSION, RESOURCE ALLOCATION, POLICY, IMPACT USE, IMPACT, CARE",

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N2 - This paper examines the role and importance of economic appraisal of health technology in Australia, particularly those appraisals conducted under the auspices of a Federal Committee. Eight specific examples are considered: extracorporeal shock wave lithotripsy, office pathology testing, magnetic resonance imaging, cervical cancer screening, bone mineral assessment, automated implantable cardiac defibrillators, fiver transplantation and extracorporeal membrane oxygenation. It was found that in most cases the appraisal influenced policy, but that it was harder to assess whether there had been changes in practice or final health outcomes. It is concluded that the roles and relationships of the various players in technology assessment need to be clear, that appropriate incentives are required if socially desirable priorities are to be achieved and that the application of economic appraisal techniques needs to be timely and relevant.

AB - This paper examines the role and importance of economic appraisal of health technology in Australia, particularly those appraisals conducted under the auspices of a Federal Committee. Eight specific examples are considered: extracorporeal shock wave lithotripsy, office pathology testing, magnetic resonance imaging, cervical cancer screening, bone mineral assessment, automated implantable cardiac defibrillators, fiver transplantation and extracorporeal membrane oxygenation. It was found that in most cases the appraisal influenced policy, but that it was harder to assess whether there had been changes in practice or final health outcomes. It is concluded that the roles and relationships of the various players in technology assessment need to be clear, that appropriate incentives are required if socially desirable priorities are to be achieved and that the application of economic appraisal techniques needs to be timely and relevant.

KW - ECONOMIC APPRAISAL

KW - TECHNOLOGY DIFFUSION

KW - RESOURCE ALLOCATION

KW - POLICY

KW - IMPACT USE

KW - IMPACT

KW - CARE

M3 - Article

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VL - 38

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EP - 1662

JO - Social Science & Medicine

JF - Social Science & Medicine

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ER -