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Transferability of Economic Evaluations Across Jurisdictions

Methodpeer-reviewed

A structured approach to determine whether economic evaluations from one healthcare setting can be used in another, and how to adapt them appropriately.

At a glance

Use when

Applying economic evidence from one country to another, especially in early stages of HTA or when local data are scarce

Avoid when

Local data and context are substantially different and poorly understood, or when high decision impact demands primary economic evaluation

Inputs

Economic evaluation data from a source jurisdiction, contextual data from the target jurisdiction (e.g., costs, resource use, epidemiology)

Outputs

Assessment of transferability, recommendations for adaptation or need for de novo analysis

How it works

Developed by the ISPOR Good Research Practices Task Force, this framework provides guidance on assessing the transferability of economic evaluations across jurisdictions by evaluating differences in healthcare systems, costs, epidemiology, and practice patterns. It supports decisions on whether to adapt existing studies or conduct new analyses.

HTA domains
Costs & Economic Evaluation, Organisational aspects, Aspects Beyond HTA
Assumptions
Key parameters influencing cost-effectiveness vary systematically across jurisdictions; adaptation can preserve validity
Strengths
Systematic consideration of contextual differences; reduces duplication of effort; promotes efficient use of evidence
Limitations
May not capture all local nuances; requires expert judgment; limited guidance on quantifying adjustments

Questions this answers

References & sources

Related methods

Similar by meaning

Beta record. Based on the original catalogue summary; primary-source enrichment pending.