scholarly journals Outcome Measurement in Economic Evaluations of Public Health Interventions: a Role for the Capability Approach?

2010 ◽  
Vol 7 (5) ◽  
pp. 2274-2289 ◽  
Author(s):  
Paula K. Lorgelly ◽  
Kenny D. Lawson ◽  
Elisabeth A.L. Fenwick ◽  
Andrew H. Briggs
Keyword(s):  
Public Health ◽  
Capability Approach ◽  
Outcome Measurement ◽  
Health Interventions ◽  
Economic Evaluations ◽  
Public Health Interventions ◽  
The Capability Approach

Health Technology Assessment of Public Health Interventions Published 2012 to 2016: An Analysis of Characteristics and Comparison of Methods

2019 ◽  
Vol 35 (4) ◽  
pp. 280-290 ◽  
Author(s):  
Stephanie Polus ◽  
Tim Mathes ◽  
Corinna Klingler ◽  
Melanie Messer ◽  
Ansgar Gerhardus ◽  
...  
Keyword(s):  
Public Health ◽  
A Priori ◽  
Health Technology ◽  
Legal Aspects ◽  
Population Based ◽  
Health Interventions ◽  
Economic Evaluations ◽  
Public Health Interventions ◽  
Comprehensive Overview ◽  
Cultural Aspects

AbstractObjectivesThe aim of this study was to provide an overview of the methodological characteristics and compare the assessment methods applied in health technology assessments (HTAs) of public health interventions (PHIs).MethodsWe defined a PHI as a population-based intervention on health promotion or for primary prevention of chronic or nonchronic diseases. HTAs on PHIs were identified by systematically searching the Web pages of members of international HTA networks. We included only full HTA reports published between 2012 and 2016. Two reviewers extracted data on the methods used to assess effectiveness/safety, as well as on economic, social, cultural, ethical, and legal aspects using a-priori standardized tables.ResultsWe included ten HTAs provided by four different organizations. Of these, all reports assessed the effectiveness of the interventions and conducted economic evaluations, seven investigated social/cultural aspects, and four each considered legal and ethical aspects, respectively. Some reports addressed applicability, context/setting, and intervention fidelity issues in different ways. We found that most HTAs adapted their methods to some extent, for example, by including nonrandomized studies, expanding the search strategy, involving stakeholders, or applying a framework to guide the HTA process.ConclusionsOur analysis provides a comprehensive overview of methods applied in HTAs on public health interventions. We found that a heterogeneous set of approaches is used to deal with the challenges of evaluating complex public health interventions.

The Economics of Infectious Diseases

2018 ◽  
Author(s):  
Katharina Hauck
Keyword(s):  
Public Health ◽  
Infectious Diseases ◽  
Disease Transmission ◽  
Health Interventions ◽  
Health System Strengthening ◽  
Economic Research ◽  
Economic Evaluations ◽  
Research Needs ◽  
Public Health Interventions ◽  
The Impact

Economics can make immensely valuable contributions to our understanding of infectious disease transmission and the design of effective policy responses. The one unique characteristic of infectious diseases makes it also particularly complicated to analyze: the fact that it is transmitted from person to person. It explains why individuals’ behavior and externalities are a central topic for the economics of infectious diseases. Many public health interventions are built on the assumption that individuals are altruistic and consider the benefits and costs of their actions to others. This would imply that even infected individuals demand prevention, which stands in conflict with the economic theory of rational behavior. Empirical evidence is conflicting for infected individuals. For healthy individuals, evidence suggests that the demand for prevention is affected by real or perceived risk of infection. However, studies are plagued by underreporting of preventive behavior and non-random selection into testing. Some empirical studies have shown that the impact of prevention interventions could be far greater than one case prevented, resulting in significant externalities. Therefore, economic evaluations need to build on dynamic transmission models in order to correctly estimate these externalities. Future research needs are significant. Economic research needs to improve our understanding of the role of human behavior in disease transmission; support the better integration of economic and epidemiological modeling, evaluation of large-scale public health interventions with quasi-experimental methods, design of optimal subsidies for tackling the global threat of antimicrobial resistance, refocusing the research agenda toward underresearched diseases; and most importantly to assure that progress translates into saved lives on the ground by advising on effective health system strengthening.

scholarly journals Economic evaluations of public health interventions for mental health: A systematic literature review

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
I Feldman ◽  
M Gebreslassie ◽  
F Sampaio ◽  
C Nystrand ◽  
R Ssegonja
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Cost Effectiveness ◽  
Suicide Prevention ◽  
High Potential ◽  
Health Interventions ◽  
Economic Evaluations ◽  
Public Health Interventions ◽  
High Quality ◽  
The Cost

Abstract Background To review the literature on economic evaluations of public health interventions targeting prevention of mental health problems and suicide, to support evidence based societal resource allocation. Methods A systematic review of economic evaluations within mental health and suicide prevention was conducted including studies published between 2000 and 2018. The studies were identified through Medline, PsychINFO, Web of Science. The quality of relevant studies and the transferability of their results were assessed using a criterion set out by the Swedish Agency for Health Technology Assessment. Results Nineteen studies of moderate to high quality were included in this review, which evaluated 18 interventions in mental health and 4 interventions in suicide prevention. Fourteen (63%) of all interventions were cost-effective. None of the studies that evaluated suicide prevention was of high quality. The interventions largely focused on psychological interventions at school, the workplace and within elderly care as well as screening and brief interventions in primary care. Nine studies (around 50% of included articles) had a high potential for transferability to the Swedish context. Conclusions Public health interventions aiming to improve mental health have a high potential to be economically beneficial to society, but high-quality evidence on the cost-effectiveness of suicide prevention is limited. Key messages Public health interventions aiming to improve mental health have a high potential to be economically beneficial to society. Evidence on the cost-effectiveness of suicide prevention is limited.

Economic evaluations of public health interventions for physical activity and healthy diet: A systematic review

2020 ◽  
Vol 136 ◽  
pp. 106100 ◽  
Author(s):  
Mihretab Gebreslassie ◽  
Filipa Sampaio ◽  
Camilla Nystrand ◽  
Richard Ssegonja ◽  
Inna Feldman
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
Systematic Review ◽  
Healthy Diet ◽  
Health Interventions ◽  
Economic Evaluations ◽  
Public Health Interventions

scholarly journals An overview of systematic reviews of economic evaluations of pharmacy-based public health interventions: addressing methodological challenges

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Suzete Costa ◽  
Maria Cary ◽  
Dennis K. Helling ◽  
João Pereira ◽  
Céu Mateus
Keyword(s):  
Public Health ◽  
Economic Evaluation ◽  
Systematic Reviews ◽  
Quality Criteria ◽  
Health Interventions ◽  
Economic Evaluations ◽  
Synthesis Methods ◽  
Public Health Interventions ◽  
Overview Of Systematic Reviews ◽  
Pharmacy Interventions

Abstract Background Pharmacy interventions are a subset of public health interventions and its research is usually performed within the scope of a trial. The economic evaluation of pharmacy interventions requires certain considerations which have some similarities to those of public health interventions and to economic evaluations alongside trials. The objective of this research is to perform an overview of systematic reviews of economic evaluations of pharmacy services and triangulate results with recommendations for economic evaluations of both public health interventions and alongside trials. Methods (1) Exploratory review of recommendations on the economic evaluation of public health interventions, (2) exploratory review of recommendations for conducting economic evaluations alongside trials, (3) overview of systematic reviews of economic evaluations of pharmacy interventions (protocol registered with PROSPERO 2016 outlining information sources, inclusion criteria, appraisal of reviews and synthesis methods). Results Fourteen systematic reviews containing 75 index publications were included. Reviews reported favorable economic findings for 71% of studies with full economic evaluations. The types of economic analysis are diverse. Two critical quality domains are absent from most reviews. Key findings include the following: certain types of risk of bias, wider scope of study designs, and most economic quality criteria met but some issues unresolved or unclear. Triangulation revealed additional gaps. Limitations include choice of critical quality domains and potential biases in the overview process. Conclusions Economic evaluations of pharmacy-based public health interventions seem to follow most economic quality criteria, but there are still some issues in certain key areas to improve. These findings may assist in improving the design of pilot trials of economic evaluations in pharmacy, leading to robust evidence for payers. Based on the findings, we propose a methodological approach for the economic evaluation of pharmacy-based public health interventions. Systematic review registration PROSPERO CRD42016032768

scholarly journals Public health interventions: evaluating the economic evaluations

2013 ◽  
Vol 2 (2) ◽  
pp. 21
Author(s):  
Martin Forster ◽  
Paolo Pertile
Keyword(s):  
Public Health ◽  
Health Interventions ◽  
Economic Evaluations ◽  
Value For Money ◽  
Public Health Interventions ◽  
Best Value ◽  
Economic Considerations

Recent years have witnessed much progress in the incorporation of economic considerations into the evaluation of public health interventions. In England, the Centre for Public Health Excellence within the National Institute for Health and Care Excellence works to develop guidance for preventing illness and assessing which public health interventions are <em>most effective and provide best value for money</em>...

Sign in / Sign up

Export Citation Format

Share Document