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Revista Española de Salud Pública

versión On-line ISSN 2173-9110versión impresa ISSN 1135-5727


TRAPERO-BERTRAN, Marta  y  KEY4VALUE-GRUPO II et al. Controversial Issues in Economic Evaluation (II): health Outcomes of Health Care Interventions. Rev. Esp. Salud Publica [online]. 2015, vol.89, n.2, pp.125-135. ISSN 2173-9110.

In this second article of a series of three, we will discuss using the Metaplan technique on controversial issues of health outcomes in economic evaluation of health care interventions. The four-discussion areas focus on: choice of health outcomes measures, where any outcome measure is superior to another; extrapolation and transferability of health outcomes measures, which should not be assumed the results of an EEIS of one country to another without making certain adjustments; appropriate instruments to measure quality of life in Spain, where the EQ-5D was indicated as convenient due to its widespread international use; and, indirect comparisons, where the combination of both comparisons, direct and indirect, it would be advisable if the test for indirect estimates is consistent and has been validated. Finally, research lines to try to overcome the identified discrepancies were identified in each of these areas, some of those are: doing studies of correlation between scores of specific and generic instruments measuring quality of life; update or create a database of economic evaluations in Spain; estimating utilities for the Spanish population by existing generic and specific instruments; or, establish a common way to show the results of a meta-analysis network.

Palabras clave : Economics; Outcome Assessment (Health Care); Health care costs; Health Care Economics and Organizations; Bioethics; Methods; Costs; Economic Evaluation of Health Interventions; Quality of life; Health outcomes.

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