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Record W4415793403 · doi:10.1186/s13561-025-00686-9

Modeling in R: a practical application using a cost-effectiveness analysis

2025· review· en· W4415793403 on OpenAlexaff
Jean Martial Kouame, Carole Siani, Christian R. C. Kouakou, Soualio Gnanou, Simon LaRue, Jason R. Guertin

Bibliographic record

VenueHealth Economics Review · 2025
Typereview
Languageen
FieldEconomics, Econometrics and Finance
TopicHealth Systems, Economic Evaluations, Quality of Life
Canadian institutionsUniversité de SherbrookeUniversité LavalThe Quebec Population Health Research Network
Fundersnot available
KeywordsHealth economicsHealth careSoftwareMicrosoft excelPublic healthHealth informaticsHealth services researchPsychological intervention

Abstract

fetched live from OpenAlex

Economic Evaluation (EE) is increasingly used to inform the decision-making of various health care systems about which health care interventions to fund with the available resources. Until now, majority of cost-effectiveness analyses have been performed with Microsoft Excel (ME). Today, the trend is to use software that can improve the decision-making model and that can resolve complex problems, as well as ensure reproducibility and transparency. The intention of this tutorial paper is not to show the "best" way of developing decision models in R, but to provide two different codes described in a step-by-step guide on how to implement a Markov model, with an explanation to help beginners in modeling (e.g., health economists new to R) and MS Excel users and to switch to R without having any great knowledge of programming with R. This paper is offered to facilitate the wider use of R to implement decision-making models.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.051
metaresearch head score (Gemma)0.206
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Simulation or modeling · Consensus signal: none
GenreCandidate signal: Methods · Consensus signal: Methods
Teacher disagreement score0.055
Threshold uncertainty score0.268

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0510.206
Meta-epidemiology (narrow)0.0030.002
Meta-epidemiology (broad)0.0040.006
Bibliometrics0.0050.007
Science and technology studies0.0010.002
Scholarly communication0.0050.003
Open science0.0040.003
Research integrity0.0030.005
Insufficient payload (model declined to judge)0.0550.023

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.776
GPT teacher head0.619
Teacher spread0.156 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designSimulation or modeling
Domainnot available
GenreMethods

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes1
Has abstractyes

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