PERKEMBANGAN METODE DAN KESENJANGAN PENELITIAN EVALUASI EKONOMI KESEHATAN DI NEGARA BERPENGHASILAN RENDAH & MENENGAH (LMICS)
DOI:
https://doi.org/10.62710/j3tfpw34Keywords:
Evaluasi Ekonomi Kesehatan, Lmics, IndonesiaAbstract
Evaluasi ekonomi kesehatan merupakan instrumen kunci dalam pengambilan keputusan alokasi sumber daya yang terbatas, terutama di negara berpenghasilan rendah dan menengah (low- and middle-income countries/LMICs). Studi ini bertujuan untuk mengkaji secara sistematis perkembangan metodologi evaluasi ekonomi kesehatan dalam satu dekade terakhir (2014–2024) serta mengidentifikasi kesenjangan penelitian yang masih persisten. Penelitian menggunakan pendekatan structured literature review dengan sintesis tematik berdasarkan penelusuran sistematis pada empat basis data (Google Scholar, PubMed, SINTA, dan GARUDA). Proses seleksi mengikuti alur PRISMA dan menghasilkan 16 artikel yang memenuhi kriteria inklusi. Hasil analisis secara konsisten mengidentifikasi empat kesenjangan utama, yaitu: (1) belum adanya standardisasi perspektif analisis; (2) terbatasnya integrasi dimensi akses dan kesetaraan; (3) minimnya studi health state valuation di LMICs yang menyebabkan keterbatasan parameter utilitas lokal; serta (4) lemahnya integrasi antara implementation science dan evaluasi ekonomi. Temuan ini menegaskan bahwa pengembangan metodologi yang lebih terstandar, kontekstual, dan berbasis data lokal merupakan kebutuhan mendesak untuk memperkuat pengambilan kebijakan kesehatan berbasis bukti di LMICs seperti Indonesia.
References
Bektur, E., et al. (2024). Health Economic Evaluations Incorporating Broader Perspectives: A Scoping Review. Value in Health, 27(8), 1023-1032.
Carrandi, A., et al. (2024). What methods are currently available for incorporating implementation considerations within the economic evaluation of health technologies? A scoping review. Implementation Science, 19(1), 45.
Chavarina, K. K., Faradiba, D., Sari, E. N., Wang, Y., & Teerawattananon, Y. (2023). Health economic evaluations for Indonesia: A systematic review assessing evidence quality and adherence to the Indonesian Health Technology Assessment (HTA) Guideline. The Lancet Regional Health - Southeast Asia, 100184.
Dawkins, B., Shinkins, B., Ensor, T., Jayne, D., & Meads, D. (2024). Incorporating healthcare access and equity in economic evaluations: a scoping review of guidelines. International Journal of Technology Assessment in Health Care, 40(1), e52.
Gadsden, T., Verstraete, J., Moyo, A., Carries, S., Sithole, N., Davids, E. L., Besada, D., Angell, B., Jan, S., & Govindasamy, D. (2025). Methodological Insights from Health Valuation Studies in Low- and Middle-Income Countries: A Scoping Review. Value in Health, 28(2), 245-256.
Riansyah, F., Ramadana, V. S., Farida, E. K., & Fajriansyah, F. (2025). Keberlangsungan Dukungan Keluarga Dengan Peningkatan Pengobatan Tbc Di Uptd Puskesmas Langkahan. Teewan Journal Solutions, 2(3), 108-116.
Riansyah, F., Saputra, I., & Halizasia, G. (2023). Analisis Pengaruh Kualitas Pelayanan Terhadap Brand Image Rumah Sakit Umum Sakinah Lhoksemawe, Aceh. Teewan Journal Solutions, 1(1), 36-42.
Heggie, R., et al. (2024). What methods are currently available for incorporating implementation considerations within the economic evaluation of health technologies? A scoping review. Health Research Policy and Systems, 22(1), 134.
Karyono, & Permanasari, Y. (2024). Utility weights for Indonesia: A systematic review of EQ-5D valuation studies. Journal of Health Economics and Policy, 12(3), 45-58.
Muir, J. M., Radhakrishnan, A., Ozer Stillman, I., & Sarri, G. (2024). Health Equity Considerations in Cost-Effectiveness Analysis: Insights from an Umbrella Review. ClinicoEconomics and Outcomes Research, 16, 581-596.
Putri, S., & Masytoh, L. S. (2024). A decade of HTA in Indonesia: Methodological challenges in conducting economic evaluation. Health Policy and Technology, 13(4), 100894.
Shi, J., & Wang, Q. (2025). Methodological Approaches and Current Applications of Distributed Cost-Effectiveness Analysis: A Systematic Review. Value in Health, 28(5), S1-S8.
Sittimart, M., Rattanavipapong, W., Mirelman, A. J., Hung, T. M., Dabak, S., Downey, L. E., Jit, M., Teerawattananon, Y., & Turner, H. C. (2024). An overview of the perspectives used in health economic evaluations. Cost Effectiveness and Resource Allocation, 22(1), 41.
Sivanantham, P., et al. (2024). Equity Considerations in Health Economic Evaluations: A Systematic Review of WHO South-East Asia Region Countries. WHO South East Asia Journal of Public Health, 13(2), 69-77.
Sultana, M., et al. (2025). Valuation of EQ-5D Health States for Adults in Low-, Lower-Middle, and Upper-Middle-Income Countries: A Systematic Review. Value in Health Regional Issues, 101505.
Tjandrarini, D. H., et al. (2024). Theory-practice gap of capitation payment in the Indonesian national health insurance: toward universal health coverage. Journal of Public Health Research and Community Health Development, 8(1), 78-86.
Venkatesh, S., Dhanji, N., Treharne, C., Pearson-Stuttard, J., & Ramagopalan, S. (2024). Mapping the Landscape of Distributional Cost-Effectiveness Analysis: A Systematic Review of Applications and Methodological Considerations. Value in Health, 27(12), S2.
Wreford, A., Birt, L., Whitty, J. A., Hanson, S., Conquer, S., & Wagner, A. P. (2024). Cost and economic evidence for asset-based approaches to health improvement and their evaluation methods: a systematic review. BMC Public Health, 24(1), 1-22.
