TY - JOUR
T1 - Expensive care - a rationale for economic evaluations in intensive care
AU - Higgins, Alisa
AU - Pettila, Ville Yrjo Olavi
AU - Bellomo, Rinaldo
AU - Harris, Anthony H
AU - Nichol, Alistair Dualta
AU - Morrison, Siouxzy
PY - 2010
Y1 - 2010
N2 - The demand for intensive care services is growing, and the
cost of these services is increasing, with newer technologies
consuming larger portions of the health care budget. We
contend that both the costs and benefits of interventions
must be considered to truly understand their value in critical
care. Economic evaluations provide an explicit framework to
compare the costs and benefits of an intervention. If these
factors are not considered together, decisions may be made
that do not result in the most efficient use of constrained
resources. Despite limitations arising from variations in
economic evaluation methodology, logistical complexity
and problems of generalisability, the Australian trial
environment provides an ideal opportunity to obtain robust
economic data to help decision-making. Here, we outline
the rationale for conducting economic evaluations in the
critical care setting and argue that these evaluations need to be routinely incorporated into all large-scale clinical trials.
AB - The demand for intensive care services is growing, and the
cost of these services is increasing, with newer technologies
consuming larger portions of the health care budget. We
contend that both the costs and benefits of interventions
must be considered to truly understand their value in critical
care. Economic evaluations provide an explicit framework to
compare the costs and benefits of an intervention. If these
factors are not considered together, decisions may be made
that do not result in the most efficient use of constrained
resources. Despite limitations arising from variations in
economic evaluation methodology, logistical complexity
and problems of generalisability, the Australian trial
environment provides an ideal opportunity to obtain robust
economic data to help decision-making. Here, we outline
the rationale for conducting economic evaluations in the
critical care setting and argue that these evaluations need to be routinely incorporated into all large-scale clinical trials.
UR - http://www.cicm.org.au/journal_load.php?year=2010&month=march&page=62.html&title=62%20Expensive%20care%20-%20a%20rationale%20for%20economic%20evaluati
M3 - Article
VL - 12
SP - 62
EP - 66
JO - Critical Care and Resuscitation
JF - Critical Care and Resuscitation
SN - 1441-2772
IS - 1
ER -