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SEEP-CI : a structured economic evaluation process for complex Health system interventions

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Madan, Jason, Bruce Kumar, Meghan, Taegtmeyer, Miriam, Barasa, Edwine and Singh, Swaran P. (2020) SEEP-CI : a structured economic evaluation process for complex Health system interventions. International Journal of Environmental Research and Public Health, 17 (18). 6780. doi:10.3390/ijerph17186780

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Official URL: http://dx.doi.org/10.3390/ijerph17186780

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Abstract

The economic evaluation of health system interventions is challenging, and methods guidance on how to respond to these challenges is lacking. The REACHOUT consortium developed and evaluated complex interventions for community health program quality improvement in six countries in Africa and Asia. Reflecting on the challenges we faced in conducting an economic evaluation alongside REACHOUT, we developed a Structured Economic Evaluation Process for Complex Health System Interventions (SEEP-CI). The SEEP-CI aims to establish the threshold effect size that would justify investment in a complex intervention, and provide an assessment to a decision-maker of how likely it is that the intervention can achieve this impact. We illustrate how the SEEP-CI could have been applied to REACHOUT to identify outcomes where the intervention might have impact and causal mechanisms, through which that impact might occur, guide data collection by focusing on proximal outcomes most likely to illustrate the effectiveness of the intervention, identify the size of health gain required to justify investment in the intervention, and indicate the assumptions required to accept that such health gains are credible. Further research is required to determine the feasibility and acceptability of the SEEP-CI, and the contexts in which it could be used.

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 > Mental Health and Wellbeing
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Health services accessibility -- Cost effectiveness, Community health services -- Cost effectiveness, Community health services -- Evaluation
Journal or Publication Title: International Journal of Environmental Research and Public Health
Publisher: MDPI
ISSN: 1660-4601
Official Date: 17 September 2020
Dates:
DateEvent
17 September 2020Published
14 September 2020Accepted
Volume: 17
Number: 18
Article Number: 6780
DOI: 10.3390/ijerph17186780
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Date of first compliant deposit: 19 February 2021
Date of first compliant Open Access: 22 February 2021
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
FP7/2007-2013Seventh Framework Programmehttp://dx.doi.org/10.13039/100011102
FP7/2007-2011Seventh Framework Programmehttp://dx.doi.org/10.13039/100011102
AID-OAA-A-16-00018United States Agency for International Developmenthttp://dx.doi.org/10.13039/100000200
092654Wellcome Trusthttp://dx.doi.org/10.13039/100010269
Is Part Of: 1

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