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  1. Economic analyses in obstetrics and gynecology : A methodologic evaluation of the literature.

    Article - En anglais


    To evaluate the methodology of the cost-effectiveness and cost-benefit literature in obstetrics and gynecology.

    Data Sources 

    We performed a MEDLINE search of the general and subspecialty obstetrics and gynecology joumals for the years 1990 through 1996.

    Methods of Study Selection 

    Original investigations including cost-effectiveness or cost-benefit were evaluated by two reviewers for adherence to ten minimum methodologic standards derived by a review of guidelines for medical economic analyses.

    The major criteria considered included 

    1) provision of comparative options, 2) statement of analytic perspective, 3) presentation of cost data, 4) identification of outcome measure, 5) use of summary measure of economic effectiveness or benefit, and 6) performance of a sensitivity analysis.

    The minor criteria evaluated included 

    1) statement of source of cost data, 2) inclusion of long-term costs, 3) use of discounting, and 4) calculation of an incremental summary measure.

    Tabulation, Integration, and Results 

    Ninety-eight articles that included cost-benefit or cost-effectiveness analyses were identified.

    The mean number of major and minor principles adhered to were 3.6 and 1.0, respectively.

    Five publications (5.1%) conformed to all ten major and minor criteria, whereas nine (9.2%) articles used all six major criteria.

    The provision of cost data (94.8%) and statement of comparative options. (...)

    Mots-clés Pascal : Analyse coût efficacité, Analyse avantage coût, Méthodologie, Economie santé, Obstétrique, Gynécologie, Revue bibliographique, Homme

    Mots-clés Pascal anglais : Cost efficiency analysis, Cost benefit analysis, Methodology, Health economy, Obstetrics, Gynecology, Bibliographic review, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0271461

    Code Inist : 002B30A01C. Création : 27/11/1998.