Incorporating Demand and Supply Constraints into Economic Evaluations in Low-Income and Middle-Income Countries

Health Economics
Anna VassallNicola Foster

Abstract

Global guidelines for new technologies are based on cost and efficacy data from a limited number of trial locations. Country-level decision makers need to consider whether cost-effectiveness analysis used to inform global guidelines are sufficient for their situation or whether to use models that adjust cost-effectiveness results taking into account setting-specific epidemiological and cost heterogeneity. However, demand and supply constraints will also impact cost-effectiveness by influencing the standard of care and the use and implementation of any new technology. These constraints may also vary substantially by setting. We present two case studies of economic evaluations of the introduction of new diagnostics for malaria and tuberculosis control. These case studies are used to analyse how the scope of economic evaluations of each technology expanded to account for and then address demand and supply constraints over time. We use these case studies to inform a conceptual framework that can be used to explore the characteristics of intervention complexity and the influence of demand and supply constraints. Finally, we describe a number of feasible steps that researchers who wish to apply our framework in cost-effectiveness ana...Continue Reading

References

Jun 26, 2004·BMJ : British Medical Journal·Penelope HaweTherese Riley
Nov 17, 2004·Health Technology Assessment : HTA·M J SculpherA Eastwood
Mar 24, 2006·Tropical Medicine & International Health : TM & IH·Estelle RollandPhilippe J Guerin
Jan 18, 2008·BMJ : British Medical Journal·Yoel LubellAnne Mills
Feb 26, 2008·Bulletin of the World Health Organization·Samuel ShillcuttA Mills
Jun 7, 2008·BMJ : British Medical Journal·Alan ShiellLisa Gold
Apr 10, 2009·Cost Effectiveness and Resource Allocation : C/E·Pascalina ChandaFelix Masiye
Nov 11, 2009·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Michael DrummondJohan Severens
Jul 3, 2010·The American Journal of Tropical Medicine and Hygiene·Joshua YukichChristian Lengeler
Oct 13, 2010·Malaria Journal·Maria Regina Fernandes de OliveiraCristiana M Toscano
Apr 29, 2011·BMC Public Health·William WinfreyJohn Stover
May 26, 2011·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Manuel GomesW J Edmunds
Jun 7, 2011·Lancet·Bernhard SchwartländerUNKNOWN Investment Framework Study Group
Jul 12, 2011·The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease·H-H LinT Cohen
Jun 14, 2012·PloS One·Gesine Meyer-RathSydney Rosen
Nov 28, 2012·Malaria Journal·Maria Regina F de OliveiraGustavo A S Romero
Feb 5, 2013·South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde·K SchnippelS Rosen
Mar 14, 2013·Tropical Medicine & International Health : TM & IH·Garry R BartonMerrick Zwarenstein
Mar 19, 2013·International Journal for Equity in Health·Jean-Frederic LevesqueGrant Russell
Jun 21, 2013·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Timothy B Hallett, Jeffrey W Eaton
Mar 7, 2014·Expert Review of Pharmacoeconomics & Outcomes Research·Adrian GheorgheMelanie Calvert
May 16, 2014·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Sanjay BasuEran Bendavid

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Citations

Feb 11, 2018·PharmacoEconomics·Praveen ThokalaThaison Tong
Nov 26, 2019·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Joshua A Salomon
Sep 15, 2020·PharmacoEconomics·Kamal DesaiChakrapani Balijepalli
Aug 3, 2018·Cost Effectiveness and Resource Allocation : C/E·Fiammetta M BozzaniAnna Vassall
Aug 11, 2020·Cost Effectiveness and Resource Allocation : C/E·Liv Nymark, Anna Vassall
Sep 23, 2020·International Journal of Environmental Research and Public Health·Jason MadanSwaran Preet Singh
May 28, 2021·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Simon WalkerMark Sculpher

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