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Published in: The European Journal of Health Economics 4/2008

01-11-2008 | Original paper

Decision-analytical modelling in health-care economic evaluations

Authors: Xin Sun, Thomas Faunce

Published in: The European Journal of Health Economics | Issue 4/2008

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Abstract

Objective

Decision-analytical modelling is widely used in health-care economic evaluations, especially in situations where evaluators lack clinical trial data, and in circumstances where such evaluations factor into reimbursement pricing decisions. This paper aims to improve the understanding and use of modelling techniques in this context, with particular emphasis on Markov modelling.

Methods

We provide an overview, in this paper, of the principles and methodological details of decision-analytical modelling. We propose a common route for practicing modelling that accommodates any type of decision-analytical modelling techniques. We use the treatment of chronic hepatitis B as an example to indicate the process of development, presentation and analysis of the Markov model, and discuss the strengths, weaknesses and pitfalls of different approaches.

Conclusions

Good practice of modelling requires careful planning, conduct and analysis of the model, and needs input from modellers and users.
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Metadata
Title
Decision-analytical modelling in health-care economic evaluations
Authors
Xin Sun
Thomas Faunce
Publication date
01-11-2008
Publisher
Springer-Verlag
Published in
The European Journal of Health Economics / Issue 4/2008
Print ISSN: 1618-7598
Electronic ISSN: 1618-7601
DOI
https://doi.org/10.1007/s10198-007-0078-x

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