Cuestiones controvertidas en evaluación económica (II): Medidas de resultado en salud de las intervenciones sanitarias

Abstract

In this second article of a series of three, we will discuss using the Me-taplan technique on controversial issues of health outcomes in economic evaluation of health care interventions. The four-discussion areas focus on: choice of health outcomes measures, where any outcome measure is supe-rior to another; extrapolation and transferability of health outcomes mea-sures, which should not be assumed the results of an EEIS of one country to another without making certain adjustments; appropriate instruments to measure quality of life in Spain, where the EQ-5D was indicated as con-venient due to its widespread international use; and, indirect comparisons, where the combination of both comparisons, direct and indirect, it would be advisable if the test for indirect estimates is consistent and has been valida-ted. Finally, research lines to try to overcome the identified discrepancies were identified in each of these areas, some of those are: doing studies of correlation between scores of specific and generic instruments measuring quality of life; update or create a database of economic evaluations in Spain; estimating utilities for the Spanish population by existing generic and spe-cific instruments; or, establish a common way to show the results of a meta-analysis network.