Economic evaluation of implementation strategies in health care
Open accessAbstract
Economic evaluations can inform decisions about the efficiency and allocation of resources to implementation strategies-strategies explicitly designed to inform care providers and patients about the best available research evidence and to enhance its use in their practices. These strategies are increasingly popular in health care, especially in light of growing concerns about quality of care and limits on resources. But such concerns have hardly motivated health authorities and other decision-makers to spend on some form of economic evaluation in their assessments of implementation strategies. This editorial addresses the importance of economic evaluation in the context of implementation science-particularly, how these analyses can be most efficiently incorporated into decision-making processes about implementation strategies.
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The application of economic evaluation within improvement and implementation evaluative research remains relatively limited.
“its application within improvement and implementation evaluative research remains relatively limited [1].”
From Use of health economic evaluation in the implementation and improvement science fields—a systematic literature review (2019) · cites this paper as [1]
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Mortimer, D., Bosch, M., McKenzie, J. E., Turner, S., Chau, M., Ponsford, J. L., Knott, J. C., Gruen, R. L., & Green, S. (2018) · Implementation Science · doi:10.1186/s13012-018-0834-6 · Cited by 14 · see citing works
Bartáková, J., Zúñiga, F., Guerbaaï, R.-A., Basinska, K., Brunkert, T., Simon, M., Denhaerynck, K., Geest, S. D., Wellens, N. I. H., Serdaly, C., et al. (2022) · BMC Geriatrics · doi:10.1186/s12877-022-03182-5 · Cited by 14 · see citing works
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Ahern, S., Riordan, F., Murphy, A., Browne, J. P., Kearney, P. M., Smith, S. M., & McHugh, S. (2021) · Implementation Science · doi:10.1186/s13012-021-01085-4 · Cited by 12 · see citing works
Bansback, N. J., Barbosa, C., Barocas, J. A., Bayoumi, A. M., Behrends, C. N., Chhatwal, J., Cipriano, L. E., Coffin, P. O., Goldhaber‐Fiebert, J. D., Hoch, J. S., et al. (2020) · International Journal of Drug Policy · doi:10.1016/j.drugpo.2020.102726 · Cited by 12 · see citing works
Rejon, C. S., Hollingworth, W., Opmeer, B. C., Luyt, K., & McLeod, H. (2025) · Applied Health Economics and Health Policy · doi:10.1007/s40258-025-00993-6 · Cited by 11 · see citing works
Li, W., Kim, C., Howell, E. A., Janevic, T. M., Liu, B., Shi, L., & Li, Y. (2022) · Value in Health · doi:10.1016/j.jval.2022.07.014 · Cited by 11 · see citing works
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Burns, C. L., Wishart, L. R., Kularatna, S., & Ward, E. C. (2020) · Speech Language and Hearing · doi:10.1080/2050571x.2019.1693750 · Cited by 11 · see citing works
Economic Evaluation of Implementation Strategies
Severens, J. L., Hoomans, T., Adang, E., & Wensing, M. (2020) · Wiley eBooks · doi:10.1002/9781119488620.ch23 · Cited by 11 · see citing works
Self-citationCarrandi, A., Grove, A., Skouteris, H., Melder, A., Hu, Y., Dever, M., & Higgins, A. M. (2024) · Implementation Science Communications · doi:10.1186/s43058-024-00562-3 · Cited by 10 · see citing works
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Clarke, C. S., Vindrola‐Padros, C., Levermore, C., Ramsay, A. I. G., Black, G. B., Pritchard‐Jones, K., Hines, J. E. W., Smith, G., Bex, A., Mughal, M. M., et al. (2021) · Applied Health Economics and Health Policy · doi:10.1007/s40258-021-00660-6 · Cited by 9 · see citing works
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Falkenbach, P., Raudasoja, A., Vernooij, R. W. M., Mustonen, J. M. J., Agarwal, A., Aoki, Y., Blanker, M. H., Cartwright, R., García‐Perdomo, H. A., Kilpeläinen, T. P., et al. (2023) · Implementation Science · doi:10.1186/s13012-023-01290-3 · Cited by 9 · see citing works
Fulop, N., Ramsay, A. I. G., Vindrola‐Padros, C., Clarke, C. S., Hunter, R. M., Black, G. B., Wood, V. J., Melnychuk, M., Perry, C., Vallejo‐Torres, L., et al. (2023) · Health and Social Care Delivery Research · doi:10.3310/qfgt2379 · Cited by 9 · see citing works
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Donovan, T., Carter, H. E., McPhail, S., & Abell, B. (2024) · Implementation Science Communications · doi:10.1186/s43058-024-00648-y · Cited by 8 · see citing works
Fehily, C. M. C., Ling, R., Searles, A., Bartlem, K. M., Wiggers, J. H., Hodder, R. K., Wilson, A. J., Colyvas, K., & Bowman, J. (2020) · BMC Health Services Research · doi:10.1186/s12913-020-05204-7 · Cited by 8 · see citing works
What is the cost of including virtual reality in neurological rehabilitation? A scoping review
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A pragmatic approach to estimating the cost to deliver and participate in implementation strategies
Cheng, H. L., Magid, M. A., McGovern, M. P., Ford, J. H., Manja, V., Garneau, H. C., & Wagner, T. H. (2025) · Implementation Science · doi:10.1186/s13012-025-01459-y · Cited by 6 · see citing works
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Silgado, A., Bosch‐Nicolau, P., Sánchez‐Montalvá, A., Cervià, A., Prat, J. G. I., Bagaría, G., Rodriguez, C., Goterris, L., Serre‐Delcor, N., Oliveira-Souto, I., et al. (2022) · International Journal of Public Health · doi:10.3389/ijph.2022.1605386 · Cited by 5 · see citing works
- Authors
- Hoomans, T., & Severens, J. L.
- Affiliations
- University of Chicago (US)
- Erasmus University Rotterdam (NL)
- Corresponding author
- Hoomans, Ties
- ORCID
- Severens, Johan L
- Venue
- Implementation Science
- Published
- 2014-12
- Volume
- 9
- Issue
- 1
- Pages
- 168-168
- ISSN
- 1748-5908 (ISSN-L)
- PMC
- PMC4279808
- OpenAlex
- W1968538166
- Cited by
- 181
- References
- 28
- Citations by year
- 2026: 9 · 2025: 14 · 2024: 27 · 2023: 16 · 2022: 29 · 2021: 24 · 2020: 27 · 2019: 14 · 2018: 9 · 2017: 2 · 2016: 5 · 2015: 4
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Implementation Science (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
- RePub (Erasmus University Rotterdam) (submittedVersion, other-oa)
- RePub (Erasmus University Rotterdam) (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
- Keywords
- economic evaluation, implementation strategies, healthcare decision-making, resource allocation, evidence-based practice, quality of care, cost-effectiveness
- MeSH terms
- Cost-Benefit Analysis, Data Collection, Decision Support Techniques, Delivery of Health Care, Health Plan Implementation, Health Policy, Humans, Quality-Adjusted Life Years
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