title: [Principles of health economic evaluation for use by caregivers].
abstract: The aim of health economic evaluation is to maximize health gains from limited resources. By definition, health economic evaluation is comparative, based on average costs and outcomes of compared interventions. Incremental costs and outcomes are used to calculate the cost-effectiveness ratio, which represents the average incremental cost per gained unit of effectiveness (i.e.: a year of life) with the evaluated intervention compared to the reference. The health economic rationale applies to all health domains. We cannot spend collective resources (health insurance) without asking ourselves about their potential alternative uses. This reasoning is useful to caregivers for understanding resources allocation decisions and healthcare recommandations. Caregivers should grab this field of expertise because they are central in this strategic reflection for defining the future French healthcare landscape.
authors.affiliation: CHU de Toulouse, pôle santé société, département d'information médicale, 31000 Toulouse, France; University Toulouse 3, Inserm, UMR 1027, 31000 Toulouse, France.
authors.forename: Hélène
authors.initials: H
authors.lastname: Derumeaux-Burel
authors.affiliation: CHU de Martinique, direction de la recherche clinique et de l'innovation, 97200 Fort-de-France, France.
authors.forename: Christian
authors.initials: C
authors.lastname: Derancourt
authors.affiliation: CHU de Pointe-à-Pitre, direction de la recherche clinique et de l'innovation, 97100 Pointe-à-Pitre, France.
authors.forename: Christine
authors.initials: C
authors.lastname: Rambhojan
authors.affiliation: CHU de Bordeaux, direction de la recherche clinique et de l'innovation, évaluation et accompagnement de l'innovation, 33000 Bordeaux, France.
authors.forename: Olivier
authors.initials: O
authors.lastname: Branchard
authors.affiliation: CHU de Bordeaux, direction de la recherche clinique et de l'innovation, évaluation et accompagnement de l'innovation, 33000 Bordeaux, France.
authors.forename: Nathalie
authors.initials: N
authors.lastname: Hayes
authors.affiliation: CHU de Bordeaux, pôle de Santé publique, service d'information médicale, USMR & CIC-EC 14-01, 33000 Bordeaux, France; University of Bordeaux, ISPED, centre Inserm U1219-Bordeaux population health research center, 33000 Bordeaux, France. Electronic address: antoine.benard@isped.u-bordeaux2.fr.
authors.forename: Antoine
authors.initials: A
authors.lastname: Bénard
mesh_terms: D017028:Caregivers / Q000191:economics*; D017281:Cost of Illness; D003362:Cost-Benefit Analysis; D017048:Health Care Costs; D006295:Health Resources; D006801:Humans