Community Guide Cardiovascular Disease Economic Reviews: Tailoring Methods to Ensure Utility of Findings
| Autor: | Verughese Jacob, David S. P. Hopkins, Community Preventive Services Task Force, Sajal K. Chattopadhyay, Shawna L. Mercer, Christopher D. Jones, Randy W. Elder |
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| Rok vydání: | 2017 |
| Předmět: |
Program evaluation
Decision support system medicine.medical_specialty Epidemiology Cost-Benefit Analysis Decision Making Psychological intervention 01 natural sciences Article 03 medical and health sciences 0302 clinical medicine Nursing medicine Humans 030212 general & internal medicine 0101 mathematics Health policy Community Health Workers Cost–benefit analysis business.industry Health Policy Public health 010102 general mathematics Comparability Public Health Environmental and Occupational Health Blood Pressure Monitoring Ambulatory Decision Support Systems Clinical United States Quality-adjusted life year Cardiovascular Diseases Practice Guidelines as Topic Quality-Adjusted Life Years Centers for Disease Control and Prevention U.S Health Expenditures business Program Evaluation |
| Zdroj: | American Journal of Preventive Medicine. 53:S155-S163 |
| ISSN: | 0749-3797 |
| DOI: | 10.1016/j.amepre.2017.06.012 |
| Popis: | The Community Preventive Services Task Force recommended five interventions for cardiovascular disease prevention between 2012 and 2015. Systematic economic reviews of these interventions faced challenges that made it difficult to generate meaningful policy and programmatic conclusions. This paper describes the methods used to assess, synthesize, and evaluate the economic evidence to generate reliable and useful economic conclusions and address the comparability of economic findings across interventions. Specifically, steps were taken to assess completeness of data and identify the components and drivers of cost and benefit. Except for the intervention cost of self-measured blood pressure monitoring intervention, either alone or with patient support, all cost and benefit estimates were standardized as per patient per year. When possible, intermediate outcomes were converted to quality-adjusted life year. Differences within and between interventions were considered to generate economic conclusions and inform their comparability. The literature search period varied among interventions. This analysis was completed in 2016. Although team-based care, self-measured blood pressure monitoring with patient support, and self-measured blood pressure monitoring within team-based care were found to be cost effective, their cost-effectiveness estimates were not comparable because of differences in the intervention characteristics. Lack of enough data or incomplete information made it difficult to reach an overall economic finding for the other interventions. The Community Guide methods discussed here may help others conducting systematic economic reviews of public health interventions to respond to challenges with the synthesis of evidence and provide useful findings for public health decision makers. |
| Databáze: | OpenAIRE |
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