, Volume 25, Issue 6, pp 467–479 | Cite as

A Systematic Review of Economic Evaluation Literature in Thailand

Are the Data Good Enough to be Used by Policy-Makers?
  • Yot Teerawattananon
  • Steve Russell
  • Miranda Mugford
Review Article


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.


Economic Evaluation Major Health Problem Economic Evaluation Study Growth Hormone Replacement Therapy Thai Context 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



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.

Supplementary material

40273_2012_25060467_MOESM1_ESM.pdf (146 kb)
Supplementary material, approximately 149 KB.


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Copyright information

© Adis Data Information BV 2007

Authors and Affiliations

  • Yot Teerawattananon
    • 1
  • Steve Russell
    • 2
  • Miranda Mugford
    • 3
  1. 1.International Health Policy ProgramMinistry of Public HealthNonthaburiThailand
  2. 2.School of Development StudiesUniversity of East AngliaNorwichUK
  3. 3.School of Medicine, Health Policy and PracticeUniversity of East AngliaNorwichUK

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