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Economic analysis of service and delivery interventions in health care
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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
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WRAP-economic-analysis-service-delivery-interventions-health-care-Lilford-2018.pdf - Published Version - Requires a PDF viewer. Download (573Kb) | Preview |
Official URL: http://dx.doi.org/10.3310/hsdr06050
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 | ||||||
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| 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 |
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| 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: |
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| 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 | ||||||
| RIOXX Funder/Project Grant: |
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