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A systematic review of discounting in national health economic evaluation guidelines: healthcare value implications.


ABSTRACT: 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.

SUBMITTER: Williams AO 

PROVIDER: S-EPMC10288966 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature

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A systematic review of discounting in national health economic evaluation guidelines: healthcare value implications.

Williams Abimbola O AO   Rojanasarot Sirikan S   McGovern Alysha M AM   Kumar Arun A  

Journal of comparative effectiveness research 20221207 2


<b>Aim:</b> This review summarizes the discounting approaches recommended in current economic evaluation (EE) guidelines for healthcare programs and interventions. <b>Materials & methods:</b> A systematic review of EE guidelines for healthcare, published up to July 2022, was conducted. <b>Results:</b> 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 incl  ...[more]

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