Systematic review of economic evaluations of interventions for high risk young people
| Autor: | Anthony Shakeshaft, Rod Ling, Kim Edmunds, Christopher M. Doran, Andrew Searles |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Gerontology
Adolescent Cost-Benefit Analysis Population Psychological intervention 030508 substance abuse High risk young people 03 medical and health sciences 0302 clinical medicine Risk-Taking Risk Factors Medicine Humans 030212 general & internal medicine Child Abuse education education.field_of_study Cost–benefit analysis business.industry lcsh:Public aspects of medicine Health Policy Cost-effectiveness analysis Cost-utility analysis lcsh:RA1-1270 Social return on investment Checklist Economic evaluation 3. Good health Psychotherapy Systematic review Multi-component intervention Juvenile Delinquency 0305 other medical science business Research Article |
| Zdroj: | BMC Health Services Research BMC Health Services Research, Vol 18, Iss 1, Pp 1-10 (2018) |
| ISSN: | 1472-6963 |
| Popis: | Background The aim of this systematic literature review is to identify and critique full economic evaluations of interventions for high risk young people with the purpose of informing the design of future rigorous economic evaluations of such intervention programs. Methods A PRISMA compliant search of the literature between 2000 and April 2018 was conducted to identify full economic evaluations of youth focussed interventions for at risk young people. Duplicates were removed and two researchers independently screened the article titles and abstracts according to PICOS criteria for exclusion and inclusion. The remaining full text articles were assessed for eligibility and a quality assessment of the included articles was conducted using the Drummond checklist. Results The database, grey literature and hand searches located 488 studies of interventions for at risk young people. After preliminary screening of titles and abstracts, 104 studies remained for full text examination and 29 empirical studies containing 32 separate economic evaluations were judged eligible for inclusion in the review. These comprised 13 cost-benefit analyses (41%), 17 cost-effectiveness analyses (53%), one cost-utility analysis (3%) and a social return on investment (3%). Three main methodological challenges were identified: 1. attribution of effects; 2. measuring and valuing outcomes; and 3. identifying relevant costs and consequences. Conclusions A cost-benefit analysis would best capture the dynamic nature of a multi-component intervention for high risk young people, incorporating broader intersectoral outcomes and enabling measurement of more domains of risk. Prospective long-term data collection and a strong study design that incorporates a control group contribute to the quality of economic evaluation. Extrapolation of impact into the future is important for this population, in order to account for the time lag in effect of many impacts and benefits arising from youth interventions. Electronic supplementary material The online version of this article (10.1186/s12913-018-3450-x) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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