ECONOMIC EVALUATION FOR HEALTH ADVOCACY AND INFORMED POLICY
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Background: Healthcare resources are limited therefore, adequate, appropriate and timely allocation of resources are important. Decision to invest on health care program can be made from the analysis of the information obtained on the cost and consequences of the various alternative health programs, often known as economic evaluation of health interventions.
Aims: This write-up emphasizes on the importance of evidence driven policy of health intervention whereby economic evaluation should be performed to indicate whether investment on health intervention would benefit the country.
Methods: Literature review on economic evaluation studies conducted by the first author during her 14 years tenure as academician had been performed. Various studies which applied the cost-effectiveness analysis tools to economically evaluate health interventions and programs in Malaysia and other countries are shared.
Results: The economic evaluation studies cut across different programs such as disease prevention and treatment, public health monitoring and control, and implications of health issues to the healthcare system. Many of the findings have been used for advocacy to shape the delivery of more effective health intervention programs in the country.
Conclusion: The country will benefit from economic evaluation studies which could provide evidence to assist in policy making on health programs for the country.
Keywords: economic evaluation, health programs, policy making
Drummond, M. F., Sculpher, M. J., Torrance, G. W., O'Brien, B. J., & Stoddart, G. L. (2005). Methods for the economic evaluation of health care programmes (3rd ed.). London: Oxford University Press.
Cunningham, S. (2000). Economics: Economic evaluation of healthcare–is it important to us? British Dental Journal, 188(5), 250.
Morris, S., Devlin N., Parkin. D., Spencer, A. (2012). Economic Analysis in Health Care, 2nd Edition. London, Wiley
Ping Ling Yeoh, Klaus Hornetz, Nor Izzah Ahmad Shauki, Maznah Dahlui. 2015. Assessing the Extent of Adherence to the Recommended Antenatal Care Content in Malaysia: Room for Improvement. Plos One DOI:10.1371/journal.pone.0135301.
Yeoh PL, Hornetz K, Dahlui M. 2016. Antenatal Care Utilisation and Content between Low-Risk and High-Risk Pregnant Women. PLoS ONE 11 (3): e0152167. doi:10.1371/journal.pone.0152167
Chan C, Moy FM, Lim JN, Dahlui M. 2017. Awareness, Facilitators, and Barriers to Policy Implementation Related to Obesity Prevention for Primary School Children in Malaysia. Am J Health Promotion (Jan 2017 DOI 10.1177/0890117117695888)
SA McDonald, Rosmawati Mohamed, Maznah D, Herlianna N, Adeeba K. 2014. Bridging the data gaps in the epidemiology of hepatitis C virus infection in Malaysia using multi- parameter evidence synthesis. BMC Infectious Diseases 11/2014; 14(1):564
Lindsey Hiebert, Amirah Azzeri, Maznah Dahlui, Robert Hecht, Rosmawati Mohamed Fatiha Hana Shabaruddin & Scott A. McDonald. 2020: Estimating of the Population Size of People Who Inject Drugs in Malaysia for 2014 and 2017 Using the Benchmark-Multiplier Method, Substance Use & Misuse, DOI: 10.1080/10826084.2019.1708943
Herlianna Naning, Cliff Kerr, Adeeba Kamarulzaman, Sutayut Osornprasop Maznah Dahlui, Chiu-Wan Ng, David P Wilson. Return on Investment and Cost-Effectiveness of Harm Reduction Programme in Malaysia. World bank Report, 2012
Lee KY, Ong TK, Low EV, M. Dahlui, et al. 2017. Cost of elective percutaneous coronary intervention in Malaysia: a multicentre cross-sectional costing study. BMJ Open 2017;7:e014307. doi:10.1136/bmjopen-2016-014307
Lee KY, Wan Ahmad WA, Low EV, Liau SY, Anchah L, Hamzah S, M. Dahlui et al. 2017. Comparison of the treatment practice and hospitalization cost of percutaneous coronary intervention between a teaching hospital and a general hospital in Malaysia: A cross-sectional study. PLoS ONE 12 (9): e0184410. https://doi.org/10.1371/journal. pone.0184410
M. Dahlui, C.W Ng, T.S. Koon. 2012. Cost analysis of UMMC services: estimating the unit cost for outpatient and inpatient services. BMC Health Services Research 2012, 12(Suppl 1):O1
Lydia SL Pok, F Shabaruddin, M Dahlui, S Sargunan, M Said, A Rosman, I S Lau, L Isa, H Hussein, C T Ng, S Mahadeva. 2018. Clinical and Economic Implications Of Upper Gastrointestinal Adverse Events In Asian Rheumatological Patients On Long-Term Non-Steroidal Anti-Inflammatory Drugs. International Journal Of Rheumatic Diseases 2018
H.Y. Chong, Z. Mohamed, L.L. Tan, D.B.C. Wu, F.H. Shabaruddin, M. Dahlui, Y.D. Apalasamy, S.R. Snyder,M.S. Williams, J. Hao, L.H. Cavallari, N. Chaiyakunapruk. 2017. Is Universal HLA-B Screening a Cost-Effective Option in an Ethnically-Diverse Population? A Case Study of Malaysia BJD-2016-2302.R1
Frew, E. J., Whynes, D. K., & Wolstenholme, J. L. (2003). Eliciting willingness to pay: comparing closed-ended with open-ended and payment scale formats. Medical Decision Making, 23(2), 150-159.
Cunningham, S. J. (2001). An Introduction to Economic Evaluation of Health Care. Journal of Orthodontics, 28(3), 246-250. doi:10.1093/ortho/28.3.246
M Dahlui, MI Hishamshah, AJ A Rahman, K Shamsuddin, SM Aljunid. 2007. Desferrioxamine Treatment in Thalassaemia Patients: A Cost Utility Analysis. Malaysian Journal of Public Health Medicine Volume 7 (2) 2007:4-9
M.Dahlui, MI Hishamshah, AJ Rahman, SM Aljunid. 2009. Quality of life in Transfusion Dependent Thalassaemia Patients on Desferrioxamine Treatment. Singapore Medical Journal Vol 20(8):794-804
S. Alkoshi, E. Leshem, U. D. Parashar, M. Dahlui. 2015. Anticipating rotavirus vaccines – a pre-vaccine assessment of incidence and economic burden of rotavirus hospitalizations among children < 5 year of age in Libya, 2012-13. BMC Public Health 2015, 15:26 doi:10.1186/s12889-015-1400-7015-1400-7
S. Alkoshi, N Maimati, M. Dahlui. 2014. Cost-effectiveness analysis of rotavirus vaccination among Libyan children using a simple economic model. Iranian J of PH Vol 9:26236
R.A. Rashid1, S. Ramli, J John, M. Dahlui. 2014. Cost Effective Analysis (CEA) of Recall Methods for Cervical Cancer Screening Program in Selangor - Which is the Best? Journal of Cancer Cause Control.
Scott A. McDonald, Amirah Azzeri, Fatiha Hana Shabaruddin, Maznah Dahlui, Soek S. Tan, Adeeba Kamarulzaman1,· Rosmawati Mohamed. 2018. Projections of the Healthcare Costs and Disease Burden due to Hepatitis C Infection under Different Treatment Policies in Malaysia, 2018-2040. Journal of Applied Health Economics and Health Policy. DOI: 10.1007/s40258-018-0425-3
Sophia Ramli. Cost and Effectiveness of Mammogram versus Usual Screening of Breast Cancer in Malaysia. PhD Thesis. 2017. Supervised by Maznah Dahlui
Hafiz Jaafar. Economic Implications of Haze in Malaysia. PhD Thesis. 2019. Supervised by Maznah Dahlui
Lindsey Hiebert, Robert Hecht, Shan Soe-Lin, Rosmawati Mohamed, Fatiha Shabaruddin, Syed Mukhtar Syed Mansor, Maznah Dahlui, Amirah Azzeri, Scott A. McDonald. 2019. Stepwise Approach to a National Hepatitis C Screening Strategy in Malaysia to Meet the WHO 2030 Targets: Proposed Strategy, Coverage, and Costs. Value in Health (Regional Issue) at https://doi.org/10.1016/j.vhri.2018.12.005.
Rahim, Ku Abd K N: Kamaruzaman, H F: Dahlui, M; Puteh, Wan S e, 2019. From Evidence to Policy: Economic Evaluation of Healthcare in Malaysia-A systematic Review. Value in Health Regional. Issues 21, page91-99, 2019 ISSN: 2212-1099
Ricardo Aguas, Adam Mahdi, Rima Shretta, Peter Horby, Martin Landray, Lisa J White for the CoMo Consortium. (2020) The potential health and economic impact of dexamethasone treatment for patients with COVID-19. Nature Communications. | (2021) 12:915 //doi.org/10.1038/s41467-021
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