Performing Economic Evaluation of Integrated Care: Highway to Hell or Stairway to Heaven?

Apostolos Tsiachristas*, K. Viktoria Stein, Silvia Evers, Maureen Rutten-van Molken

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


Health economists are increasingly interested in integrated care in order to support decision-makers to find cost-effective solutions able to tackle the threat that chronic diseases pose on population health and health and social care budgets. However, economic evaluation in integrated care is still in its early years, facing several difficulties. The aim of this paper is to describe the unique nature of integrated care as a topic for economic evaluation, explore the obstacles to perform economic evaluation, discuss methods and techniques that can be used to address them, and set the basis to develop a research agenda for health economics in integrated care. The paper joins the voices that call health economists to pay more attention to integrated care and argues that there should be no more time wasted for doing it.
Original languageEnglish
Article number3
Pages (from-to)1–12
JournalInternational Journal of Integrated Care
Issue number4
Publication statusPublished - 2016


  • health economics
  • economic evaluation
  • health technology assessment
  • integrated care
  • complex intervention


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