title: Hurdles that impede economic evaluations of welfare interventions.
abstract: Compared with economic evaluations of healthcare interventions, less experience has been gained in the field of economic evaluation of welfare interventions. This review suggests possible approaches to address four previously identified hurdles in economic evaluations of welfare interventions. After literature was searched through MEDLINE and EMBASE, it was found that Health-Related-Quality-of-Life questionnaires related to the condition of the target population are needed, instead of generic instruments. These condition-specific instruments use a multidimensional approach. There are specific instruments needed to take account of influences on informal caregivers. Moreover, it was shown that several aspects, such as crime rates and employment should be considered to estimate the impact on societal costs. Finally, the intervention must be described in detail and well defined to reduce variability. In conclusion, economic evaluations of welfare interventions increase complexity. These must be accounted for to permit valid assessments of the value for money of welfare interventions.
authors.affiliation: KU Leuven Department of Pharmaceutical and Pharmacological Sciences, 3000 Leuven, Belgium.
authors.forename: Janne
authors.initials: J
authors.lastname: Schepers
authors.forename: Lieven
authors.initials: L
authors.lastname: Annemans
authors.forename: Steven
authors.initials: S
authors.lastname: Simoens
mesh_terms: D017028:Caregivers; D003695:Delivery of Health Care / Q000191:economics*; D006801:Humans; D011788:Quality of Life; D012946:Social Welfare / Q000191:economics*; D011795:Surveys and Questionnaires
keywords: economic evaluation; healthcare intervention; policy; quality-adjusted life year; quality-of-life; welfare intervention