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A systematic review of discounting in national health economic evaluation guidelines: healthcare value implications.
| Content Provider | Europe PMC |
|---|---|
| Author | Williams, Abimbola O Rojanasarot, Sirikan McGovern, Alysha M Kumar, Arun |
| Copyright Year | 2022 |
| Description | Plain language summary This article discusses the discounting approaches recommended in published economic evaluations for healthcare decision making by various institutions worldwide. As discounting rates may differ based on the context, such as cost incurred or benefit received over time, it is important to understand the factors contributing to these differences. This systematic review details the different discounting rates by country and whether discounting is done equally or differently for cost and benefits, in which the synthesized evidence on discounting is currently lacking. Additionally, the rationale for choosing similar or varying rates was reviewed and summarized. This review identified a significant discrepancy and variation in discounting rates and rationale in economic evaluations by country. Variation in the discount rates was observed and may be due to the individual country’s healthcare system, financing mechanisms and needs. Including discounting approaches in national guidelines can be used by policymakers to understand the impact each approach has on decision making in healthcare interventions. Aim This review summarizes the discounting approaches recommended in current economic evaluation (EE) guidelines for healthcare programs and interventions. Materials & methods A systematic review of EE guidelines for healthcare, published up to July 2022, was conducted. Results A total of 52 EE guidelines were reviewed. The majority of these guidelines recommend equal discounting (80.8%) rather than differential discounting (9.6%). The rationale for equal discounting includes recommendations by the government, consistency with other countries, and economic development. However, the rationale for differential discounting is based on the interest in short-term government bonds and anticipated budget changes. Discussion This review demonstrates variation in both discounting approaches and rates across EE guidelines and underscores the need for a global consensus on discounting approaches. |
| Related Links | https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC10288966&blobtype=pdf |
| Page Count | 20 |
| ISSN | 20426305 |
| Volume Number | 12 |
| DOI | 10.2217/cer-2022-0167 |
| PubMed Central reference number | PMC10288966 |
| Issue Number | 2 |
| PubMed reference number | 36476014 |
| Journal | Journal of Comparative Effectiveness Research [J Comp Eff Res] |
| e-ISSN | 20426313 |
| Language | English |
| Publisher | Becaris Publishing Ltd |
| Publisher Date | 2022-12-07 |
| Publisher Place | Royston, UK |
| Access Restriction | Open |
| Rights License | This work is licensed under the Attribution-NonCommercial-NoDerivatives 4.0 Unported License © 2022 The Authors |
| Subject Keyword | cost–effectiveness analysis decision making discounting economic evaluation health economics health technology assessment practice guidelines |
| Content Type | Text |
| Resource Type | Article |
| Subject | Health Policy |
