Developing a national integrated classification of health care interventions in Sweden

IntroductionMany health care interventions have costs and benefits that spill over to sectors outside the healthcare sector. Little is known about these inter-sectoral costs and benefits (ICBs). However, to achieve an efficient allocation of scarce resources, insights on ICBs are indispensable. The main objective of this study was to identify the ICBs related to health care and provide a sector-specific classification scheme for these ICBs. For this sector-specific classification scheme mental disorders were taken as an example, as we expect that this is the sector with the most ICBs.MethodsUsing PubMed, a literature search was conducted for ICBs of mental disorders and related (psycho)social effects. A policy perspective was used to build the scheme's structure, which was adapted to the outcomes of the literature search. In order to validate the scheme's international applicability inside and outside the mental health domain, semi-structured interviews were conducted with (inter)national experts in the broad fields of health care.ResultsThe searched-for items appeared in a total of fifty-two studies. The ICBs found were classified in one of four sectors: “Education”, “Labor and Social Security”, “Household and Leisure” or “Criminal Justice System”. Psycho(social) effects were placed in a separate section under “Individual and Family”. Based on interviews, the scheme remained unadjusted, apart from adding a population-based dimension.ConclusionsThis is the first study which offers a sector-specific classification of ICBs. Given the explorative nature of the study, no guidelines on sector-specific classification of ICBs were available. Nevertheless, the classification scheme was acknowledged by an international audience and could therefore provide added value to researchers and policymakers in the field of health technology assessment. The identification and classification of ICBs offers decision makers supporting information on how to optimally allocate scarce resources. By exploring a new area of research, which has remained largely unexplored until now, the current study has an added value as it may form the basis for the development of a tool which can be used to calculate the ICBs of health care interventions.

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FEATURES OF OPHTHALMIC CARE FOR PATIENTS WITH COMPLICATED CATARACTS

International Medical Journal ◽

10.37436/2308-5274-2019-4-18 ◽

2020 ◽

pp. 84-89

Author(s):

Inna Ivanovna Lapkina

Keyword(s):

Health Care ◽

Surgical Treatment ◽

Postoperative Complications ◽

Key Words ◽

Outpatient Treatment ◽

Practical Application ◽

Unified Approach ◽

Case Histories ◽

High Prevalence

Today, around 50 million people worldwide suffer from cataracts, more than a half of them need surgical treatment. High prevalence of this pathology in Ukraine, the need to improve the provision of ophthalmic care to patients, and the reform of the health care system have made the research relevant. Concomitant diseases and special conditions of the eye increase the risk of intra− and postoperative complications, worsen the functional parameters of patients after surgery. In order to develop a unified approach to the treatment of complicated cataracts based on diagnostically related groups of patients, a retrospective analysis of case histories of patients with different variants of complications related to the condition of the lens itself, its ligament apparatus and other structures of the eye was conducted. In each case, the surgeon has to choose the appropriate modification of cataract phacoemulsification surgery. The study proposed the classification of cataract phacoemulsification modifications on the basis of the techniques and the sequence of operation stages, taking into account the classification of the degrees of turbidity of the lens, proposed by L. Buratto. It has been noted that in complicated cases, according to the indications of the patient, surgery may be performed on several modifications of cataract phacoemulsification. The developed classification made it possible to generalize the various variants of pathology and greatly facilitate the choice of tactics of surgical treatment in complicated cataracts. It can be used not only for practical application, but also for improving the qualification of trained professionals. The prospect of further research is to identify contraindications for outpatient treatment of the patients with complicated cataracts. Key words: cataract complication, classification of phacoemulsification modifications, diagnostically related groups.

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Reflective Choice in Health Care: Using Information Technology to Present Allocation Options

American Journal of Law & Medicine ◽

10.1017/s0098858800010959 ◽

1999 ◽

Vol 25 (2-3) ◽

pp. 387-402

Author(s):

Arti K. Rai

Keyword(s):

Health Care ◽

Information Technology ◽

Health Care System ◽

Medical Technology ◽

Health Benefit ◽

Cost Benefit ◽

Alternative Funding ◽

Health Care Interventions ◽

The U.S ◽

Care System

Over the last few decades, the U.S. health care system has been the beneficiary of tremendous growth in the power and sheer quantity of useful medical technology. As a consequence, our society has, for some time, had to make cost-benefit tradeoffs in health care. The alternative—funding all health care interventions that would produce some health benefit for some patient—is not feasible, because it would effectively consume all of our resources.

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The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration

PLoS Medicine ◽

10.1371/journal.pmed.1000100 ◽

2009 ◽

Vol 6 (7) ◽

pp. e1000100 ◽

Cited By ~ 6648

Author(s):

Alessandro Liberati ◽

Douglas G. Altman ◽

Jennifer Tetzlaff ◽

Cynthia Mulrow ◽

Peter C. Gøtzsche ◽

...

Keyword(s):

Health Care ◽

Systematic Reviews ◽

Health Care Interventions ◽

Prisma Statement ◽

Meta Analyses

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PRM11 Learning Effect in Economic Evaluations of Health Care Interventions

Value in Health ◽

10.1016/j.jval.2011.08.1042 ◽

2011 ◽

Vol 14 (7) ◽

pp. A422-A423

Author(s):

S. Chang ◽

D. Sungher ◽

A. Diamantopoulos

Keyword(s):

Health Care ◽

Learning Effect ◽

Economic Evaluations ◽

Health Care Interventions

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Why primary health-care interventions for intimate partner violence do not work

The Lancet ◽

10.1016/s0140-6736(14)61203-4 ◽

2014 ◽

Vol 384 (9939) ◽

pp. 229 ◽

Cited By ~ 4

Author(s):

Susan Rees ◽

Derrick Silove

Keyword(s):

Health Care ◽

Intimate Partner Violence ◽

Primary Health Care ◽

Partner Violence ◽

Intimate Partner ◽

Health Care Interventions ◽

Primary Health

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Using logic models to enhance the methodological quality of primary health-care interventions: guidance from an intervention to promote nutrition care by general practitioners and practice nurses

Australian Journal of Primary Health ◽

10.1071/py16038 ◽

2017 ◽

Vol 23 (1) ◽

pp. 53 ◽

Cited By ~ 7

Author(s):

Lauren Ball ◽

Dianne Ball ◽

Michael Leveritt ◽

Sumantra Ray ◽

Clare Collins ◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Care Setting ◽

Logic Model ◽

Practice Nurses ◽

Nutrition Care ◽

Health Care Interventions ◽

Primary Health ◽

Health Care Practitioners ◽

Logic Models

The methodological designs underpinning many primary health-care interventions are not rigorous. Logic models can be used to support intervention planning, implementation and evaluation in the primary health-care setting. Logic models provide a systematic and visual way of facilitating shared understanding of the rationale for the intervention, the planned activities, expected outcomes, evaluation strategy and required resources. This article provides guidance for primary health-care practitioners and researchers on the use of logic models for enhancing methodological rigour of interventions. The article outlines the recommended steps in developing a logic model using the ‘NutriCare’ intervention as an example. The ‘NutriCare’ intervention is based in the Australian primary health-care setting and promotes nutrition care by general practitioners and practice nurses. The recommended approach involves canvassing the views of all stakeholders who have valuable and informed opinions about the planned project. The following four targeted, iterative steps are recommended: (1) confirm situation, intervention aim and target population; (2) document expected outcomes and outputs of the intervention; (3) identify and describe assumptions, external factors and inputs; and (4) confirm intervention components. Over a period of 2 months, three primary health-care researchers and one health-services consultant led the collaborative development of the ‘NutriCare’ logic model. Primary health-care practitioners and researchers are encouraged to develop a logic model when planning interventions to maximise the methodological rigour of studies, confirm that data required to answer the question are captured and ensure that the intervention meets the project goals.

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