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Table 2 The recommendations within several international and LMIC national economic evaluation guidelines on perspective to use within an economic evaluation

From: An overview of the perspectives used in health economic evaluations

Sources

Recommendation

Key international guidelines

 WHO-CHOICE (2003) [55]

 WHO-CHOICE (2017 update) [20]

Societal perspective (but excluding productivity costs)

Health system perspective

 iDSI and Gates reference cases [29, 30]

Disaggregated societal perspectivea

Country guidelines/reference casesb

 Thailand: Guideline for Health Technology Assessment in Thailand Updated Edition 2019 [61]

Societal perspective (health care provider perspective can be used as a secondary perspective)

 India: Health Technology Assessment in India A Manual [62]

Disaggregated societal perspective

 Egypt: Guidelines for Reporting Pharmacoeconomic Evaluations 2013 [63]

Healthcare system perspective

 The Philippines: Philippine HTA Methods Guide—Methodological standards in evaluation of health technologies in the Philippines 1st edition 2020 [64]

Publicly funded health care payer perspective

 Indonesia: Indonesian Health Technology Assessment Committee (InaHTAC) Guideline [65]

Both societal and provider perspectives are considered

 Brazil: Methodological Guidelines: Economic Evaluation of Health Technologies 2014 [15]

Healthcare system perspective (service payer/purchaser). Societal perspective is also recommended as an additional analysis

 Malaysia: Pharmacoeconomic guidelines 2nd edition 2019 [66]

Payer/budget holder perspective (in Malaysia’s context, this is the same as health care provider)

 Republic of Ghana: Reference Case for Health Technology Assessment (HTA) 1st edition 2023 [11]

Societal perspective. However, the perspective could be that of the government (defined to include the public-funded health system or the National Health Insurance Authority)

 Russia: Guidelines for conducting a comparative clinical and economic evaluation of drugs 2018 [14]

Health care payer perspectives

 South African: Health Technology Assessment Methods Guideline v1.2. Essential Drugs Program (EDP) 2022 [11]

Public health system

 Colombia: Manual para la elaboración de evaluaciones económicas en salud 2014 [67]

National health system perspective

 China: China Guidelines for Pharmacoeconomic Evaluation (CGPE) 2020 [68]

Health system and societal as the primary perspectives

 Mexico: Economic Assessment Study Guideline for Updating The National Formulary in Mexico 2017 [69]

Public health sector/institutions

 Cuba: Methodological Guidelines for Health Economic Evaluation 2003 [70]

Societal, government, or patient perspectives

  1. aWhere the costs and outcomes are disaggregated, either by sector of the economy or by who incurs them—and therefore it is possible to interest the results from a range of perspectives
  2. bThe national economic evaluation guidelines were extracted from GEAR [11] (please note that some guidelines were not included as their text was not available in English)