Methods for health economic evaluation of complex interventions in healthcare: current practice, challenges and guidance for future research
Health economic methods can support the development and evaluation of new healthcare interventions by generating data on the resources used and relating these to a defined benefit. However, the standard methodology of health economic evaluation that is usually used does not do justice to the high degree of complexity of interventions in healthcare. As a result, there is a lack of decision-relevant information, for example, on the preferences of the target group, on spillover effects on the part of carers, or on implementation costs and the role of different contexts in the implementation of interventions into routine care. The UK Medical Research Council's (MRC) standard-setting framework for complex interventions therefore emphasises the need to incorporate health economic aspects more strongly into all phases of the development and evaluation of complex interventions. To make this possible, the MRC's recommendations for expanding and adapting the standard methodology of health economic evaluation must be concretised and supplemented. Building on already established methodological procedures, recommendations should be developed and proposals for necessary further research formulated.
Authors
- Helene Eckhardt (ORCID: https://orcid.org/0000-0002-3921-428X)
- Markus Vomhof (ORCID: https://orcid.org/0000-0002-2714-6371)
- Dirk Müller (ORCID: https://orcid.org/0000-0002-5576-0192)
- Cornelia Henschke (ORCID: https://orcid.org/0000-0001-5261-2330)
- Ingrid Zechmeister‐Koss (ORCID: https://orcid.org/0000-0003-3713-7580)
- Rolf Holle (ORCID: https://orcid.org/0000-0001-5395-2695)
- Nadja Kairies‐Schwarz (ORCID: https://orcid.org/0000-0001-6164-959X)
- Adrienne Alayli (ORCID: https://orcid.org/0000-0001-8859-4285)
- Juliane Köberlein–Neu (ORCID: https://orcid.org/0000-0002-3451-7847)
- Andrea Icks (ORCID: https://orcid.org/0000-0002-4882-969X)
- Anja Neumann (ORCID: https://orcid.org/0000-0002-0921-1360)
- R. Albert Mohler (ORCID: https://orcid.org/0000-0001-8637-7818)
- Johann Behrens
- Damon Mohebbi (ORCID: https://orcid.org/0000-0001-9567-7193)
- Nadja Chernyak
- Sebastian Liersch
Institutions
- HTW Berlin - University of Applied Sciences (DE)
- University of Wuppertal (DE)
- University of Potsdam (DE)
- University of Cologne (DE)
- Institute of Technology Assessment (AT)
- Düsseldorf University Hospital (DE)
- Austrian Institute for Health Technology Assessment GmbH (AT)
- Centrum für Integrierte Onkologie (DE)
- Deutsches Diabetes-Zentrum e.V. (DE)
- University Hospital Cologne (DE)
- German Center for Diabetes Research (DE)
- Berlin Center for Epidemiology and Health Research (DE)
- Heinrich Heine University Düsseldorf (DE)
- Technische Universität Berlin (DE)
- University of Duisburg-Essen (DE)
- Martin Luther University Halle-Wittenberg (DE)
- Ludwig-Maximilians-Universität München (DE)
Publication Details
- Journal
- Das Gesundheitswesen
- Published
- 2025-03-31
- DOI
- https://doi.org/10.1055/a-2569-9765
- Primary Topic
- Health Systems, Economic Evaluations, Quality of Life
- Type
- article
- Field-Weighted Citation Impact
- 0.00