A Systematic Review of Economic Evaluation Literature in Thailand
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In many countries, including Thailand, there is an increasing impetus to use economic evaluation to allow more explicit and transparent healthcare priority setting. However, an important question for policy makers in low- and middle-income countries is whether it is appropriate and feasible to introduce economic evaluation data into healthcare priority-setting decisions. In addition to ethical, social and political issues, information supply challenges need to be addressed. This paper systematically reviewed the literature on economic evaluation of health technology in Thailand published between 1982 and 2005. Its aim was to analyse the quantity, quality and targeting of economic evaluation studies that can provide a framework for those conducting similar reviews in other settings.
The review revealed that, although the number of publications reporting economic evaluations has increased significantly in recent years, serious attention needs to be given to the quality of reporting and analysis. Furthermore, there is an absence of economic evaluation publications for 15 of the top 20 major health problems in Thailand, indicating a poor distribution of research resources towards the determination of cost-effective interventions for diminishing the disease burden of certain major health problems. If economic evaluation is only useful for policy makers when performed correctly and reported accurately, these findings depict information barriers to using economic evaluation to assist health decision-making processes in Thailand.
KeywordsEconomic Evaluation Major Health Problem Economic Evaluation Study Growth Hormone Replacement Therapy Thai Context
This research was partly supported by the Setting Priorities using Information on Cost-Effectiveness (SPICE) project, which is supported by an international collaborative research grant from the Wellcome Trust, UK (071842/Z/03/Z) and the National Health and Medical Research Council of Australia (301199).
At the time this study was conducted, Y. Teerawattananon was under the Fellowship Program of the World Health Organization and pursuing his PhD at the University of East Anglia.
The authors thank Miss Sanya Srirattana and Miss Suwanna Mukem for their help in the literature review. We are also indebted to Stephen Lim, Sripen Tantivess and two anonymous reviewers whose comments significantly improved our manuscript.
The authors have no conflicts of interest that are directly relevant to the contents of this review.
- 2.Tangcharoesnathien V, Srithamrongswat S, Pittayarangsarit S. Overview of health insurance systems. In: Thammathataree J, editor. Health insurance systems in Thailand. Bangkok: Desire Publisher; 2001: 28–37Google Scholar
- 11.Drummond M, Pang F. Transferability of economic evaluation results. In: Drummond M, McGuire A, editors. Economic evaluation in health care. Oxford: Oxford University Press, 2001: 256–276Google Scholar
- 14.Drummond M, Sculpher M, Torrance G, et al. Method for the economic evaluation of health care programmes. 3rd ed. Oxford: Oxford University Press, 2005Google Scholar
- 16.Bundhamcharoen K, Teerawattananon Y, Theo V, et al. Burden of disease and injuries in Thailand: priority setting for policy. The Thai Working Group on Burden of Disease and Injuries. Bangkok: Printing House of the War Veterans Organization of Thailand, 2002 [online]. Available at URL: http://126.96.36.199/BURDEN.pdf [Accessed 14 Sep 2006]Google Scholar
- 17.Murray C, Lopez A. The global burden of diseases: a comprehensive assessment of mortality and disability from diseases, injuries and risk factors in 1990 and projected to 2020. Boston: Harvard School of Public Health, WHO and World Bank, 1996Google Scholar
- 20.Neumann P. Using cost-effectiveness analysis to improve health care: opportunities and barriers. Oxford: Oxford University Press, 2005Google Scholar
- 22.Tan-Torres E, Baltussen R, Adum T, et al. Making CHOICES in health: WHO guide to cost-effectiveness analysis. Geneva: World Health Organization, 2003Google Scholar
- 25.Cairns J. Discounting in economic evaluation. In: Drummond M, McGuire A, editors. Economic evaluation in health care: merging theory with practice. Oxford: Oxford University Press, 2001Google Scholar
- 26.World Health Organization. The world health report 2002: reducing risks, promoting healthy life. Geneva: World Health Organization, 2002Google Scholar