Cost-effectiveness analysis in healthcare: documentary study of theses and dissertations.

Autor: Fonseca, Graziele Gorete Portella da, Parcianello, Márcio Kist, Santos, Wendel Mombaque dos, Santos, Viviane Euzébia Pereira dos, Mello, Ana Lúcia Schaefer Ferreira
Zdroj: Acta Paulista de Enfermagem; 2024, Vol. 37 Issue 1, p1-11, 11p
Abstrakt: Objective: To characterize Brazilian theses and dissertations that used cost-effectiveness analysis methods in health technologies and the respective decision models. Method: This documentary and quantitative study was carried out in February 2023 with a search in the Catalog of Theses and Dissertations (Coordination for the Improvement of Higher Education Persons) in the period 2011-2022 using the term "cost-effectiveness". After applying the inclusion and exclusion criteria, 81 studies were included in the study and then a quantitative analysis of theses and dissertations was carried out. Results: The majority of studies were doctoral theses (54.3%), defended in 2018 (22.2%) in southeastern Brazil (60.5%) and conducted in a hospital setting (42.0%). The Markov Decision Tree model (37.0%) (28.4%) was adopted, followed by other models. Furthermore, most theses followed the recommendations of good practices in economic cost-effectiveness analysis: they met a largely (55.6%), minimally (25.9%) and partially (18.5%) of the necessary items and recommendations. Conclusion: The cost-effectiveness studies carried out in the theses analyzed used the Decision Tree model and followed best practice recommendations in their development. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index