To evaluate the methodology of the cost-effectiveness and cost-benefit literature in obstetrics and gynecology.
We performed a MEDLINE search of the general and subspecialty obstetrics and gynecology joumals for the years 1990 through 1996.
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.
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.
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.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0271461
Code Inist : 002B30A01C. Création : 27/11/1998.