Complex Problems or Simple Solutions? Enhancing Evidence-based Economics to Reflect Reality

Chantale Lessard () and Stephen Birch ()
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Chantale Lessard: Department of Health Administration, School of Public Health, Faculty of Medicine, University of Montreal
Stephen Birch: Department of Clinical Epidemiology and Biostatistics, Centre for Health Economics and Policy Analysis, McMaster University, School of Community Based Medicine, University of Manchester

No 2009-05, Centre for Health Economics and Policy Analysis Working Paper Series from Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada

Abstract: • The production of health, illness and recovery in populations is a complex process that embodies a wide range of influences and interactions between influences • Economic evaluation approaches oversimplify the decision-makers' problem by adopting inappropriate research paradigm that ignores the contexts in which health problems are experienced and health care is delivered • Complexity theory provides a basis for studying problems in their contexts and addressing questions about the circumstances under which interventions work best and what works in specific circumstances • Broad-based economic models already exist with the capacity to incorporate complexity

Date: 2009
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