© 2017

Health Economics from Theory to Practice

Optimally Informing Joint Decisions of Research, Reimbursement and Regulation with Health System Budget Constraints and Community Objectives


  • Identifies evaluation principles and methods that enable constrained optimisation of joint research, reimbursement and reimbursement decisions

  • Principles and methods are illustrated across health promotion, prevention, palliative and aged care settings addressing challenges of baby boomer ageing

  • Health shadow price and value of information methods are shown to point towards research required for better integration and pricing of existing and new technologies

  • Demonstrates distinct advantages of the net benefit correspondence theorem in comparing multiple strategies, multiple outcomes and efficiency in practice


Table of contents

  1. Front Matter
    Pages i-xxii
  2. Simon Eckermann
    Pages 1-23
  3. Principles and Practice for Robust Net Benefit Analysis Informing Optimal Reimbursement (Adoption and Financing) Decisions Across Individual and Community-Focused Programs Using Trial, Model and Network Multiplier Methods

  4. Joint Research and Reimbursement Questions, Optimising Local and Global Trial Design and Decision Making Under Uncertainty Within and Across Jurisdictions with Value of Information Methods

  5. Regulating Strategies and Providers in Practice: The Net Benefit Correspondence Theorem Enabling Robust Comparison of Multiple Strategies, Outcomes and Provider Efficiency in Practice Consistent with Net Benefit Maximisation

  6. The Health Shadow Price and Other Key Political Economy and Policy Issues: Appropriate Threshold Pricing and Policy Application of Methods for Optimising Community Net Benefit with Budget Constraints

About this book


This book provides a robust set of health economic principles and methods to inform societal decisions in relation to research, reimbursement and regulation (pricing and monitoring of performance in practice). We provide a theoretical and practical framework that navigates to avoid common biases and suboptimal outcomes observed in recent and current practice of health economic analysis, as opposed to claiming to be comprehensive in covering all methods. Our aim is to facilitate efficient health system decision making processes in research, reimbursement and regulation, which promote constrained optimisation of community outcomes from a societal perspective given resource constraints, available technology and processes of technology assessment. Importantly, this includes identifying an efficient process to maximize the potential that arises from research and pricing in relation to existing technology under uncertainty, given current evidence and associated opportunity costs of investment. Principles and methods are identified and illustrated across health promotion, prevention and palliative care settings as well as treatment settings. Health policy implications are also highlighted.


Cost Effectiveness Acceptability Planes and Surfaces Evidence Synthesis Evidence Translation Expected Net Loss Curves and Frontiers Expected Net Loss Planes and Surfaces Health Promotion Evaluation Health Shadow Price Joint Research and Reimbursement Decisions Multiple Outcome Comparison Multiple Strategy Comparison Multiplier Methods Net Benefit Correspondence Theorem Odds Ratio Solution Opportunity Cost Optimal Global Trial Design Palliative Care Evaluation Policy Analysis Quality of Care in Efficiency Measures Relative Risk Framing Bias Value of Information Methods

Authors and affiliations

  1. 1.Health EconomicsUniversity of WollongongWollongongAustralia

About the authors

Simon Eckermann is Senior Professor of Health Economics at the Australian Health Services Research Institute and University of Wollongong. His research interests include robust methods for cost effectiveness evidence synthesis and translation, multiple strategy and efficiency comparisons allowing for quality of care consistent with maximising net benefit, multiplier methods in health promotion settings, multiple domain comparisons in palliative care settings and value of information methods for optimally informing joint research, reimbursement, implementation and pricing decisions.

In the last 15 years Prof. Eckermann has published more than 60 related health economics papers in high impact international health economics, policy and medical journals and taught associated principles and methods to more than 500 students from a wide range of clinical, research, policy and health technology assessment backgrounds, primarily in the Health Economics from Theory to Practice course developed with Professor Andrew Willan. He also actively sits on and undertakes guideline revision and health economics educational activities for bodies including the PBAC Economic Sub-Committee, Palliative Care Trials Scientific Committee, Prostheses List Advisory Committee, Victorian Cancer Agency and Food Standards ANZ and is a CI on competitive research grants totalling more than a $25 million over the past decade.

Bibliographic information

  • Book Title Health Economics from Theory to Practice
  • Book Subtitle Optimally Informing Joint Decisions of Research, Reimbursement and Regulation with Health System Budget Constraints and Community Objectives
  • Authors Simon Eckermann
  • DOI
  • Copyright Information Springer International Publishing AG 2017
  • Publisher Name Adis, Cham
  • eBook Packages Economics and Finance Economics and Finance (R0)
  • Hardcover ISBN 978-3-319-50611-1
  • Softcover ISBN 978-3-319-84442-8
  • eBook ISBN 978-3-319-50613-5
  • Edition Number 1
  • Number of Pages XXII, 328
  • Number of Illustrations 33 b/w illustrations, 38 illustrations in colour
  • Topics Health Economics
  • Buy this book on publisher's site