Health Economics & Market Access, Boston Scientific, Marlborough, MA 01752, USA.
Department of Pharmacy Practice & Administrative Sciences, University of Cincinnati, James L Winkle College of Pharmacy, Cincinnati, OH 45229, USA.
J Comp Eff Res. 2023 Feb;12(2):e220167. doi: 10.2217/cer-2022-0167. Epub 2022 Dec 7.
This review summarizes the discounting approaches recommended in current economic evaluation (EE) guidelines for healthcare programs and interventions. A systematic review of EE guidelines for healthcare, published up to July 2022, was conducted. 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. This review demonstrates variation in both discounting approaches and rates across EE guidelines and underscores the need for a global consensus on discounting approaches.
本综述总结了当前医疗保健计划和干预措施的经济评估（EE）指南中推荐的折扣方法。对截至 2022 年 7 月发布的医疗保健 EE 指南进行了系统回顾。共审查了 52 项 EE 指南。其中大多数指南建议采用平等折扣（80.8%）而非差异折扣（9.6%）。平等折扣的理由包括政府的建议、与其他国家的一致性以及经济发展。然而，差异折扣的理由基于对短期政府债券的兴趣和预期预算变化。本综述表明，EE 指南中的折扣方法和利率存在差异，强调需要就折扣方法达成全球共识。
