title: Resource modelling: the missing piece of the HTA jigsaw?
abstract: Within health technology assessment (HTA), cost-effectiveness analysis and budget impact analyses have been broadly accepted as important components of decision making. However, whilst they address efficiency and affordability, the issue of implementation and feasibility has been largely ignored. HTA commonly takes place within a deliberative framework that captures issues of implementation and feasibility in a qualitative manner. We argue that only through a formal quantitative assessment of resource constraints can these issues be fully addressed. This paper argues the need for resource modelling to be considered explicitly in HTA. First, economic evaluation and budget impact models are described along with their limitations in evaluating feasibility. Next, resource modelling is defined and its usefulness is described along with examples of resource modelling from the literature. Then, the important issues that need to be considered when undertaking resource modelling are described before setting out recommendations for the use of resource modelling in HTA.
authors.affiliation: Health Economics and Decision Science, School of Health and Related Research, University of Sheffield, Regent Court, 30 Regent Street, Sheffield, S1 4DA, UK, p.thokala@sheffield.ac.uk.
authors.forename: Praveen
authors.initials: P
authors.lastname: Thokala
authors.forename: Simon
authors.initials: S
authors.lastname: Dixon
authors.forename: Beate
authors.initials: B
authors.lastname: Jahn
mesh_terms: D020811:Biomedical Technology / Q000191:economics*; D002017:Budgets; D003362:Cost-Benefit Analysis; D003657:Decision Making; D006801:Humans; D018803:Models, Economic; D013673:Technology Assessment, Biomedical / Q000379:methods*