A SYSTEMATIC APPROACH FOR ASSESSING, IN THE ABSENCE OF FULL EVIDENCE, WHETHER MULTICOMPONENT INTERVENTIONS CAN BE MORE COST-EFFECTIVE THAN SINGLE COMPONENT INTERVENTIONS
| Autor: | Janne C. Mewes, Maarten Joost IJzerman, Wim H. van Harten, Lotte Maria Gertruda Steuten |
|---|---|
| Přispěvatelé: | Health Technology & Services Research |
| Rok vydání: | 2017 |
| Předmět: |
Multidimensional
medicine.medical_specialty Time Factors Cost effectiveness Computer science Cost-Benefit Analysis medicine.medical_treatment Decision Making Comparative effectiveness research Psychological intervention Health informatics Headroom (audio signal processing) 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Patient Education as Topic Neoplasms mental disorders medicine Humans 030212 general & internal medicine Exercise Rehabilitation Cognitive Behavioral Therapy Cost–benefit analysis business.industry 030503 health policy & services Health Policy Methodology Multicomponent Combined Modality Therapy 22/4 OA procedure Cognitive behavioral therapy Cost-effectiveness 0305 other medical science business Models Econometric |
| Zdroj: | International journal of technology assessment in health care, 33(4), 444-453. Cambridge University Press |
| ISSN: | 1471-6348 0266-4623 |
| Popis: | Objectives:Multicomponent interventions (MCIs), consisting of at least two interventions, are common in rehabilitation and other healthcare fields. When the effectiveness of the MCI versus that of its single interventions is comparable or unknown, evidence of their expected incremental cost-effectiveness can be helpful in deciding which intervention to recommend. As such evidence often is unavailable this study proposes an approach to estimate what is more cost-effective; the MCI or the single intervention(s).Methods:We reviewed the literature for potential methods. Of those identified, headroom analysis was selected as the most suitable basis for developing the approach, based on the criteria of being able to estimate the cost-effectiveness of the single interventions versus that of the MCI (a) within a limited time frame, (b) in the absence of full data, and (c) taking into account carry-over and interaction effects. We illustrated the approach with an MCI for cancer survivors.Results:The approach starts with analyzing the costs of the MCI. Given a specific willingness-to-pay-value, it is analyzed how much effectiveness the MCI would need to generate to be considered cost-effective, and if this is likely to be attained. Finally, the cost-effectiveness of the single interventions relative to the potential of the MCI for being cost-effective can be compared.Conclusions:A systematic approach using headroom analysis was developed for estimating whether an MCI is likely to be more cost effective than one (or more) of its single interventions. |
| Databáze: | OpenAIRE |
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