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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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WRAP-structured-economic-evaluation-process-complex-health-system-nterventions-Singh-2020.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (855Kb) | Preview |
Official URL: http://dx.doi.org/10.3390/ijerph17186780
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 | |||||||||||||||
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| Subjects: | R Medicine > RA Public aspects of medicine | |||||||||||||||
| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Medicine > Warwick Medical School |
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| 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: |
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| Volume: | 17 | |||||||||||||||
| Number: | 18 | |||||||||||||||
| Article Number: | 6780 | |||||||||||||||
| DOI: | 10.3390/ijerph17186780 | |||||||||||||||
| Status: | Peer Reviewed | |||||||||||||||
| Publication Status: | Published | |||||||||||||||
| Access rights to Published version: | Open Access | |||||||||||||||
| RIOXX Funder/Project Grant: |
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