Global return on investment and cost-effectiveness of WHO's HEAR interventions for hearing loss: a modelling study

Abstract Background Hearing loss is quite prevalent and can be related to people’s quality of life. To our knowledge, there are limited studies assessing the efficacy of hearing interventions on quality of life in adults. Therefore, we aim to conduct a randomized controlled trial (RCT) to determine the impact and cost-effectiveness of community-based hearing rehabilitation on quality of life among Chinese adults with hearing loss. Methods/design In this two-arm feasibility study, participants aged 16 and above with some degree of hearing loss (n = 464) will be recruited from Linyi City, Shandong Province. They are randomly assigned to the treatment group or the control group. Those in the treatment group are prescribed with hearing aids, while those in the control group receive no intervention. Reinstruction in use of devices is provided for the treatment group during booster visits held 12 months post-randomization or unscheduled interim visits when necessary. Data are collected at baseline and the follow-up 20 months later. The primary outcome is changes in quality of life over a 20-month study period. Secondary outcomes include sub-dimensions in quality of life, physical functioning, chronic diseases, cognitive function, depression, social support, hospitalizations, falls, and healthcare costs. Finally, we will evaluate whether hearing aids intervention is cost-effective to apply in a large scale. Discussion The trial is designed to evaluate the impact and cost-effectiveness of a community-based rehabilitation intervention on quality of life among Chinese adults with hearing loss. We hope that it would help improve the well-being for Chinese adults and provide references in policy and practice for China and other countries. Trial registration Chinese Clinical Trial Registry ChiCTR1900024739. Registered on 26 July 2019.

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Expanding reimbursement of immediate treatment using Direct Acting Antivirals to reduce Hepatitis C incidence among HIV positive MSM in Bangkok, Thailand: a cost effectiveness modelling study.

Journal of Virus Eradication ◽

10.1016/j.jve.2021.100042 ◽

2021 ◽

pp. 100042

Author(s):

Shreoshee Mukherjee ◽

Donn Colby ◽

Reshmie Ramataursing ◽

Stephanie Popping ◽

Somchai Sriplienchan ◽

...

Keyword(s):

Cost Effectiveness ◽

Hepatitis C ◽

Hiv Positive ◽

Direct Acting Antivirals ◽

Direct Acting ◽

Modelling Study

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Cost-Effectiveness of Oral Pre-Exposure Prophylaxis and Expanded Antiretroviral Therapy for Preventing HIV Infections in the Presence of Drug Resistance: A Mathematical Modelling Study

SSRN Electronic Journal ◽

10.2139/ssrn.3950264 ◽

2021 ◽

Author(s):

Xinye Jin ◽

Lingen Shi ◽

Congyue Wang ◽

Tao Qiu ◽

Yi Yin ◽

...

Keyword(s):

Drug Resistance ◽

Cost Effectiveness ◽

Antiretroviral Therapy ◽

Mathematical Modelling ◽

Hiv Infections ◽

Exposure Prophylaxis ◽

Modelling Study

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In reference to To image or not to Image? A cost-effectiveness analysis of MRI for patients with asymmetric sensorineural hearing loss

The Laryngoscope ◽

10.1002/lary.26757 ◽

2017 ◽

Vol 128 (7) ◽

pp. E266-E266

Author(s):

Robert A. Dobie

Keyword(s):

Hearing Loss ◽

Cost Effectiveness ◽

Sensorineural Hearing Loss ◽

Cost Effectiveness Analysis ◽

Sensorineural Hearing ◽

Effectiveness Analysis ◽

Asymmetric Sensorineural Hearing Loss

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The cost-effectiveness and return-on-investment of a combined social and physical environmental intervention in office employees

Health Education Research ◽

10.1093/her/cyx055 ◽

2017 ◽

Vol 32 (5) ◽

pp. 384-398 ◽

Cited By ~ 3

Author(s):

J. M. van Dongen ◽

J. K. Coffeng ◽

M. F. van Wier ◽

C. R. L. Boot ◽

I. J. M. Hendriksen ◽

...

Keyword(s):

Cost Effectiveness ◽

Return On Investment ◽

Environmental Intervention ◽

The Cost ◽

Office Employees

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Examining the cost-effectiveness of personal protective equipment for formal healthcare workers in Kenya during the COVID-19 pandemic

BMC Health Services Research ◽

10.1186/s12913-021-07015-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Jacob Kazungu ◽

Kenneth Munge ◽

Kalin Werner ◽

Nicholas Risko ◽

Andres I. Vecino-Ortiz ◽

...

Keyword(s):

Cost Effectiveness ◽

Incremental Cost ◽

Healthcare Worker ◽

Personal Protective Equipment ◽

Return On Investment ◽

Healthcare Workers ◽

Health Economic Evaluation ◽

Response Strategy ◽

Decision Analytic Model ◽

Protective Equipment

Abstract Background Healthcare workers are at a higher risk of COVID-19 infection during care encounters compared to the general population. Personal Protective Equipment (PPE) have been shown to protect COVID-19 among healthcare workers, however, Kenya has faced PPE shortages that can adequately protect all healthcare workers. We, therefore, examined the health and economic consequences of investing in PPE for healthcare workers in Kenya. Methods We conducted a cost-effectiveness and return on investment (ROI) analysis using a decision-analytic model following the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) guidelines. We examined two outcomes: 1) the incremental cost per healthcare worker death averted, and 2) the incremental cost per healthcare worker COVID-19 case averted. We performed a multivariate sensitivity analysis using 10,000 Monte Carlo simulations. Results Kenya would need to invest $3.12 million (95% CI: 2.65–3.59) to adequately protect healthcare workers against COVID-19. This investment would avert 416 (IQR: 330–517) and 30,041 (IQR: 7243 – 102,480) healthcare worker deaths and COVID-19 cases respectively. Additionally, such an investment would result in a healthcare system ROI of $170.64 million (IQR: 138–209) – equivalent to an 11.04 times return. Conclusion Despite other nationwide COVID-19 prevention measures such as social distancing, over 70% of healthcare workers will still be infected if the availability of PPE remains scarce. As part of the COVID-19 response strategy, the government should consider adequate investment in PPE for all healthcare workers in the country as it provides a large return on investment and it is value for money.

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The social and economic benefit of health literacy interventions in the WHO EURO region

European Journal of Public Health ◽

10.1093/eurpub/ckz186.390 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Cited By ~ 1

Author(s):

A Stielke ◽

M Dyakova ◽

K Ashton ◽

T van Dam

Keyword(s):

Health Promotion ◽

Cost Effectiveness ◽

Health Literacy ◽

Health Systems ◽

Return On Investment ◽

Grey Literature ◽

Literacy Interventions ◽

Social Return On Investment ◽

Mesh Terms ◽

The Social

Abstract Background Health literacy (HL) allows people to make informed decisions regarding their health, enabling them to understand health promotion activities and to self-manage their disease or complication without requiring support from healthcare services. HL has the potential to support sustainability in health systems by decreasing healthcare spendings stemming from lowered disease occurrence and progression, it can also impact on the rest of peoples’ lives and their surroundings by allowing them to be more independent. This study researched the evidence for return on investment and the social return on investment for health literacy interventions within the WHO EURO region. Methods A narrative literature review on published peer-reviewed reviews and grey literature was conducted by use of keywords and MeSH terms. Google, Google Scholar and PubMed were used find literature. The search on PubMed was restricted to reviews, published within the last 10 years (2009-2019), in English. Results In total, 450 publications were screened 12 publications that analysed the economic or social aspect of HL interventions were identified. Five discussed the cost-effectiveness of health literacy, three the return on investment (ROI) and the remaining three the social return on investment (SROI) of HL. Types of HL interventions ranged from health promotion campaigns, web-based HL programs, prevention systems to education-based interventions. Cost-effectiveness differed between studies and fields. Evidence for ROI was found, the return ratios ranged from 0.62 to 27.4. Findings show SROI between 4.41 and 7.25, indicating additional value of social benefit next to improved health. Conclusions A link between cost-effectiveness and HL interventions was established and ROI and SROI showed positive ratios. Further research is required in order to investigate whether HL interventions consistently achieve a positive returns. Key messages A link between health literacy interventions and positive investment returns has been established. Health literacy interventions show potential for sustainable development of health systems.

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