scholarly journals Including Health Economic Analysis in Pilot Studies: Lessons Learned from a Cost-Utility Analysis within the PROSPECTIV Pilot Study

Author(s):  
Richéal M. Burns ◽  
Jane Wolstenholme ◽  
Bethany Shinkins ◽  
Emma Frith ◽  
Lauren Matheson ◽  
...  
2007 ◽  
Vol 191 (S50) ◽  
pp. s42-s45 ◽  
Author(s):  
Paul McCrone

BackgroundIt is essential in economic evaluations of schizophrenia interventions that all relevant costs are identified and measured appropriately Also of importance is the way in which cost data are combined with information on outcomesAimsTo examine the use of health economicsin evaluations of interventions for schizophreniaMethodsAreview of the key methods used to estimate costs and to link costs and outcomes was conductedResultsCosts fall on a number of different agencies and can be short term or long term. Cost-effectiveness analysis and cost-utility analysis are the most appropriate methods for combing cost and outcome dataConclusionsSchizophrenia poses a number of challenges for economic evaluation


Author(s):  
Juyoung Kim ◽  
Bogeum Cho ◽  
Seon-Ha Kim ◽  
Chang-Min Choi ◽  
Yeol Kim ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kari Jalkanen ◽  
Emma Aarnio ◽  
Piia Lavikainen ◽  
Jaana Lindström ◽  
Markku Peltonen ◽  
...  

Abstract Background Early identification of people at elevated risk of type 2 diabetes (T2D) is an important step in preventing or delaying its onset. Pharmacies can serve as a significant channel to reach these people. This study aimed to assess the potential health economic impact of screening and recruitment services in pharmacies in referring people to preventive interventions. Methods A decision analytic model was constructed to perform a cost-utility analysis of the expected national health economic consequences (in terms of costs and quality-adjusted life years, QALYs) of a hypothetical pharmacy-based service where people screened and recruited through pharmacies would participate in a digital lifestyle program. Cost-effectiveness was considered in terms of net monetary benefit (NMB). In addition, social return on investment (SROI) was calculated as the ratio of the intervention and recruitment costs and the net present value of expected savings. Payback time was the time taken to reach the break-even point in savings. In the base scenario, a 20-year time horizon was applied. Probabilistic and deterministic sensitivity analyses were applied to study robustness of the results. Results In the base scenario, the expected savings from the pharmacy-based screening and recruitment among the reached target cohort were 255.3 m€ (95% CI − 185.2 m€ to 717.2 m€) in pharmacy visiting population meaning 1412€ (95% CI − 1024€ to 3967€) expected savings per person. Additionally, 7032 QALYs (95% CI − 1344 to 16,143) were gained on the population level. The intervention had an NMB of 3358€ (95% CI − 1397€ to 8431€) using a cost-effectiveness threshold of 50,000 €/QALY. The initial costs were 122.2 m€ with an SROI of 2.09€ (95% CI − 1.52€ to 5.88€). The expected payback time was 10 and 8 years for women and men, respectively. Results were most sensitive for changes in effectiveness of the intervention and selected discount rate. Conclusions T2D screening and recruitment to prevention programs conducted via pharmacies was a dominant option providing both cost savings and QALY gains. The highest savings can be potentially reached by targeting recruitment at men at elevated risk of T2D.


2018 ◽  
Vol 9 (1) ◽  
Author(s):  
Pan Su

Abstract In recent years, serious accidents in China caused by negligence have resulted in tremendous damage to both human life and property. Taking a cost-utility analysis, law and economics considers that accident law can induce injurers to internalize the costs of harm through liability rules such as victim compensation and criminal imprisonment. Consequently, the injurers are motivated to avoid or reduce accident risks at a more effective level. This article applies the approach of law and economics into the analysis of serious accident laws in China. It argues that the current provisions should be revised to include criminal fines on injurers, so as to enhance legal deterrence, stimulating them to improve the level of care as well as the level of behavior to reduce the incidence of accidents.


2020 ◽  
Vol 2 (3) ◽  
pp. e193-e205 ◽  
Author(s):  
Cécile Grobet ◽  
Laurent Audigé ◽  
Klaus Eichler ◽  
Flurina Meier ◽  
Beatrice Brunner ◽  
...  

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