Sutton, Matt, Garfield-Birkbeck, Steph, Martin, Graham, Meacock, Rachel, Morris, Stephen, Sculpher, Mark, Street, Andrew, Watson, Samuel I. and Lilford, Richard (2018) Economic analysis of service and delivery interventions in health care. Health Services and Delivery Research, 6 (5). pp. 1-16. doi:10.3310/hsdr06050 ISSN 2050-4349.
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Abstract
There are well-developed guidelines for economic evaluation of clearly defined clinical interventions, but no such guidelines for economic analysis of service interventions. Distinctive challenges for analysis of service interventions include diffuse effects, wider system impacts, and variability in implementation, costs and effects. Cost-effectiveness evidence is as important for service interventions as for clinical interventions. There is also an important role for wider forms of economic analysis to increase our general understanding of context, processes and behaviours in the care system. Methods exist to estimate the cost-effectiveness of service interventions before and after introduction, to measure patient and professional preferences, to reflect the value of resources used by service interventions, and to capture wider system effects, but these are not widely applied. Future priorities for economic analysis should be to produce cost-effectiveness evidence and to increase our understanding of how service interventions affect, and are affected by, the care system.
| Item Type: | Journal Article |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine |
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
| Library of Congress Subject Headings (LCSH): | Medical economics, Cost effectiveness, Medical care -- Cost effectiveness |
| Journal or Publication Title: | Health Services and Delivery Research |
| Publisher: | NIHR Journals Library |
| ISSN: | 2050-4349 |
| Official Date: | 1 February 2018 |
| Dates: | Date Event 1 February 2018 Published 17 November 2017 Accepted |
| Volume: | 6 |
| Number: | 5 |
| Page Range: | pp. 1-16 |
| DOI: | 10.3310/hsdr06050 |
| Status: | Not Peer Reviewed |
| Publication Status: | Published |
| Access rights to Published version: | Open Access (Creative Commons open licence) |
| Date of first compliant deposit: | 19 March 2018 |
| Date of first compliant Open Access: | 20 March 2018 |
| RIOXX Funder/Project Grant: | Project/Grant ID RIOXX Funder Name Funder ID Collaboration for Leadership in Applied Health Research and Care National Institute for Health Research |
| URI: | https://wrap.warwick.ac.uk/100028/ |
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