Sentences with phrase «care economic evaluations»

Consequently, the aim of this systematic review is to identify, critically appraise and provide guidance on the selection of preference - based instruments for measuring care - related outcomes in palliative care economic evaluations.

Not exact matches

Unit cost estimation involved a combination of bottom - up and top - down costing methods and followed guidance on costing healthcare services as part of an economic evaluation.15 17 Detailed unit costs, derived from the finance departments of participating trusts and information provided by senior midwives, were estimated for resource inputs into the following components of intrapartum and after birth care for all settings: homebirth delivery packs; NHS reimbursement for midwifery travel; some forms of pain relief; alternative modes of delivery; active management of the third stage of labour; suturing for episiotomy; suturing third and fourth degree perineal tears; manual removal of the placenta; blood transfusions; and care after a stillbirth or neonatal death.

If higher level care after the birth was required for the mother or the baby, or both, this was included in the economic evaluation.

Other strengths of the underpinning cohort study include high participation by midwifery units and trusts in England; the minimisation of selection bias through achievement of a high response rate and absence of self selection bias because of non-consent; and the ability to compare groups that were similar in terms of identified clinical risk.12 The economic evaluation was conducted according to nationally agreed design and reporting guidelines.15 26 Collection of primary unit cost data was thorough and accounted for regional differences in care patterns.

For the purposes of this economic evaluation, the forms were initially used in a related study funded by the National Institute of Health Research (NIHR) research for patient benefit programme «assessing the impact of a new birth centre on choice and outcome of maternity care in an inner city area,» which will be reported in full elsewhere, comparing the costs of care in a free standing midwifery unit with care in an obstetric unit in the same trust.16 The data collected included details of staffing levels, treatments, surgeries, diagnostic imaging tests, scans, drugs, and other resource inputs associated with each stage of the pathway through intrapartum and after birth care.

Methods for the economic evaluation of health care programmes.

Total health care costs were calculated for a three - month period using reference prices from the Dutch manual for pharmaco - economic health care evaluations 2010, adjusting for inflation as required and using healthy individuals as the reference point.

The trial - based economic evaluation results will be expressed as the change in costs of the intervention compared with usual care, relative to the change in effects of the intervention over and above the usual care arm at 2 years.

A health economic model for the development and evaluation of innovations in aged care: an application to consumer - directed care — study protocol

Specifically, the Center will study three primary focus areas: the relationship between stress, neurobiology, and genetics and drug abuse, the role of fathers in the child welfare system, and an economic evaluation of a set of child welfare costs related specifically to the placement of children in out - of - home care.

Finally, the degree of suitability of the instruments for economic evaluations in the palliative care setting will be assessed by scoring whether the domains or dimensions were developed using input from informal caregivers of people receiving palliative care and whether items from the International Society for Quality of Life Research (ISOQOL) 43 minimum standards for patient - reported outcome measures and the checklist for reporting valuation studies of multiattribute utility - based instruments (CREATE) 44 have been evaluated in this population.

First, all preference - based instruments measuring care - related outcomes in economic evaluations in any clinical setting will be identified.

In view of the personal, social, health, and (to the nation) economic benefits of successful and early treatment of these sleep disorders, it is highly desirable to devise effective behavioural treatments which require less time and professional expertise for use in primary care.12 An evaluation of such a treatment was the aim of this study.

Several reports have highlighted the inadequacies of the UK's care system and the high costs associated with implementing new services6 as well as the increasing costs that are associated with cycling placements or returns to care.7 Additionally, existing analyses have emphasised the challenges in conducting economic evaluations of interventions aimed at improving outcomes for maltreated children, which include the need for a long - term perspective, accounting for the context - specific nature of interventions, 8 and overcoming obstacles of cross-comparison due to variations in methods, samples etc..9