1081 Burrard Street
Katherine Payne, PhD, M.Sc.
Professor, Institute of Population Health, University of Manchester, United Kingdom
Valuing the Economic Benefits of Complex Interventions: When Maximizing Health is Not Sufficient
Abstract: The National Institute for Health and Care Excellence (NICE) appraises economic evidence to inform the production of national guidance. The economic evaluation of complex interventions may be problematic on two levels. The complexity means the intervention may not fit into one of the current NICE appraisal systems and/or maximizing health is not the only objective. This presentation discusses the implications of a program of work that focused on clinical genetics services, as an example of a complex intervention. Genetic services and tests are a good example of a complex intervention and have broader objectives than just health gain, which may usefully be measured using the concept related to capability which we have called “empowerment.” Further methodological work is required to identify the trade-off between non-health (capability to make an informed decision) and health benefits for other complex interventions.