A systematic review of discounting in national health economic evaluation guidelines: healthcare value implications

Aim: This review summarizes the discounting approaches recommended in current economic evaluation (EE) guidelines for healthcare programs and interventions. Materials & methods: A systematic review of EE guidelines for healthcare, published up to July 2022, was conducted. Results: A total of 5...

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Main Authors: Abimbola O Williams, Sirikan Rojanasarot, Alysha M McGovern, Arun Kumar
Format: Article
Language:English
Published: Becaris Publishing Limited 2022-12-01
Series:Journal of Comparative Effectiveness Research
Subjects:
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author Abimbola O Williams
Sirikan Rojanasarot
Alysha M McGovern
Arun Kumar
author_facet Abimbola O Williams
Sirikan Rojanasarot
Alysha M McGovern
Arun Kumar
author_sort Abimbola O Williams
collection DOAJ
description Aim: This review summarizes the discounting approaches recommended in current economic evaluation (EE) guidelines for healthcare programs and interventions. Materials & methods: A systematic review of EE guidelines for healthcare, published up to July 2022, was conducted. Results: A total of 52 EE guidelines were reviewed. The majority of these guidelines recommend equal discounting (80.8%) rather than differential discounting (9.6%). The rationale for equal discounting includes recommendations by the government, consistencywith other countries, and economic development. However, the rationale for differential discounting is based on the interest in short-term government bonds and anticipated budget changes. Discussion: This review demonstrates variation in both discounting approaches and rates across EE guidelines and underscores the need for a global consensus on discounting approaches.
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spelling doaj.art-5e165a70cdd14df082366be0c0d1b5522023-07-08T12:39:51ZengBecaris Publishing LimitedJournal of Comparative Effectiveness Research2042-63132022-12-0112210.2217/cer-2022-0167A systematic review of discounting in national health economic evaluation guidelines: healthcare value implicationsAbimbola O Williams0https://orcid.org/0000-0003-1982-8417Sirikan Rojanasarot1https://orcid.org/0000-0003-2102-7520Alysha M McGovern2https://orcid.org/0000-0002-6486-1788Arun Kumar3https://orcid.org/0000-0002-9105-3479Health Economics & Market Access, Boston Scientific, Marlborough, MA 01752, USAHealth Economics & Market Access, Boston Scientific, Marlborough, MA 01752, USAHealth Economics & Market Access, Boston Scientific, Marlborough, MA 01752, USADepartment of Pharmacy Practice & Administrative Sciences, University of Cincinnati, James L Winkle College of Pharmacy, Cincinnati, OH 45229, USAAim: This review summarizes the discounting approaches recommended in current economic evaluation (EE) guidelines for healthcare programs and interventions. Materials & methods: A systematic review of EE guidelines for healthcare, published up to July 2022, was conducted. Results: A total of 52 EE guidelines were reviewed. The majority of these guidelines recommend equal discounting (80.8%) rather than differential discounting (9.6%). The rationale for equal discounting includes recommendations by the government, consistencywith other countries, and economic development. However, the rationale for differential discounting is based on the interest in short-term government bonds and anticipated budget changes. Discussion: This review demonstrates variation in both discounting approaches and rates across EE guidelines and underscores the need for a global consensus on discounting approaches.cost–effectiveness analysisdecision makingdiscountingeconomic evaluationhealth economicshealth technology assessmentpractice guidelines
spellingShingle Abimbola O Williams
Sirikan Rojanasarot
Alysha M McGovern
Arun Kumar
A systematic review of discounting in national health economic evaluation guidelines: healthcare value implications
Journal of Comparative Effectiveness Research
cost–effectiveness analysis
decision making
discounting
economic evaluation
health economics
health technology assessment
practice guidelines
title A systematic review of discounting in national health economic evaluation guidelines: healthcare value implications
title_full A systematic review of discounting in national health economic evaluation guidelines: healthcare value implications
title_fullStr A systematic review of discounting in national health economic evaluation guidelines: healthcare value implications
title_full_unstemmed A systematic review of discounting in national health economic evaluation guidelines: healthcare value implications
title_short A systematic review of discounting in national health economic evaluation guidelines: healthcare value implications
title_sort systematic review of discounting in national health economic evaluation guidelines healthcare value implications
topic cost–effectiveness analysis
decision making
discounting
economic evaluation
health economics
health technology assessment
practice guidelines
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