The study “Identifying Methodological Issues in Low- and Middle-income Countries (LMICs)” yielded methodological questions to pursue in the future and improve the quality of economic evaluations in LMICs. Through improved tools for economic evaluation, the quality and usability of this kind of evidence will be boosted and the decision-making informed by these evidences will also be better. This will call for sustainable production of evidence and even higher quality and usability evidences. However, the research team foresaw that filling the gaps through research will require substantial amount of time; therefore, providing academics, researchers and economic evaluation practitioners ‘immediate solutions’ which could be applied to tackle methodological difficulties they are currently facing is as important and needed. It aims to be a part of the cycle in Theory of Change of Methodological Research Development outlined below (Diagram 2).
The ultimate goals of this project are to develop a growing, up-to-date database of issues, solutions and possible research questions to fill the gaps, to provide a unique and trustworthy platform for HTA practitioners to overcome methodological challenges that will respond to queries in a timely manner with up-to-date information, to offer neutral and best available advice to practitioners without advocating any particular method and to function as a global public good, and to which the global community can collectively contribute (i.e. a Wiki approach). With more use of this database, the underlying hope is that capacities in economic evaluation, both to generate and to use the evidences, will be improved.
Diagram 2: GEAR Database Theory of Change