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Issues in the Cross-National Assessment of Health Technology

Published online by Cambridge University Press:  10 March 2009

Michael F. Drummond
University of York
Bernard S. Bloom
University of Pennsylvania
Guy Carrin
Universiteit Antwerpen
Alan L. Hillman
University of Pennsylvania
H. Christina Hutchings
University of Pennsylvania
Robin P. Knill-jones
University of Glasgow
Gerard De Pouvourville
École Polytechnique, Paris
Koen Torfs
Universiteit Antwerpen


With the growing international literature in economic evaluation and the rapid spread of new health technologies, there is a need to undertake, or at least interpret, economic evaluations on the international level. However, the ways in which cross-national differences affect the cost-effectiveness of health technologies or their evaluations have never been studied. This paper explores these issues by taking advantage of a unique situation in which the same economic evaluation of a new indication for a health technology was conducted simultaneously in four countries using an identical methodology. The study showed that if prior agreement on methods can be reached and local data applied, economic evaluations can be undertaken in a way that facilitates the extrapolation of results from country to country.

General Essays
Copyright © Cambridge University Press 1992

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