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Cost Effectiveness and Resource Allocation: C/E

Ellen Rafferty, Mohsen Yaghoubi, Jeff Taylor, Marwa Farag
[This corrects the article DOI: 10.1186/s12962-018-0159-y.].
2019: Cost Effectiveness and Resource Allocation: C/E
Meles Tekie Gidey, Gebremedhin Beedemariam Gebretekle, Mary-Ellen Hogan, Teferi Gedif Fenta
Background: Owing to lack of adequate healthcare financing, access to at least the basic health services is still a problem in Ethiopia. With the intention of raising funds and ensuring universal health coverage, a mandatory health insurance scheme has been introduced. The Community Based Health Insurance has been implemented in all regions of the country, while implementation of social health insurance was delayed mainly due to resistance from public servants. This study was, therefore, aimed to assess willingness to pay for social health insurance and its determinant factors among public servants in Mekelle city, Northern Ethiopia...
2019: Cost Effectiveness and Resource Allocation: C/E
Thanaporn Bussabawalai, Kittiphong Thiboonboon, Yot Teerawattananon
Background: Many patients develop tumour recurrence within a few years after undergoing surgical resection of gastrointestinal stromal tumours (GIST). Adjuvant imatinib treatment is recommended for patients with high risk of GIST recurrence as it can improve recurrence-free survival and overall survival of patients. This study aims to assess the cost-utility of adjuvant imatinib in patients with high risk of GIST recurrence after surgery compared with no adjuvant therapy in Thailand. Methods: A Markov model was developed to estimate lifetime costs and outcomes of using adjuvant imatinib treatment and other treatment alternatives if recurrence occurred compared with the current situation of no adjuvant therapy in high-risk patients after surgery...
2019: Cost Effectiveness and Resource Allocation: C/E
Markus H Jansson, Yang Cao, Kerstin Nilsson, Per-Göran Larsson, Lars Hagberg
Background: The proportion of pregnant women delivered by cesarean section has increased steadily during the past three decades. The risk of infection is 10-fold augmented after elective cesarean section compared to vaginal delivery. Antibiotic prophylaxis may reduce endometritis by 62% and superficial wound infection by 38% after elective cesarean section. International guidelines recommend antibiotic prophylaxis in elective cesarean section, but this procedure is not routinely followed in Sweden...
2018: Cost Effectiveness and Resource Allocation: C/E
Shih Han Lin, Tom M Y Lin
Background: Given the global trend of aging societies, medical expenditure has hit record highs in many countries. Because medical advice-seeking behaviors can affect the health of whole societies, how members of a society make medical-related decisions with limited available resources is worthy of investigation. Although transaction cost theory has been extensively applied in commercial research, it is yet to be applied in studies on medical advice-seeking behaviors. Method and results: This study conducted in-depth interviews with 15 participants and verified that transaction cost theory is applicable for analyzing people's medical advice-seeking behaviors...
2018: Cost Effectiveness and Resource Allocation: C/E
Kimia Pourmohammadi, Nahid Hatam, Payam Shojaei, Peivand Bastani
Introduction: Key performance indicators are essential navigation tools for hospitals. They provide managers with valid information enabling them to identify institutional strengths and weaknesses and improve managerial performance. In this study, the synthesis of evidence relating to hospital performance indicators was carried out by means of a field review and the indicators were analyzed through the Best Fit Method. Methods: The five-step approach of Arksey and O'Malley was used as follows: selection of the research question; search for related studies; selection and refinement of the studies; synthesis and tabulation of key information; derivation of the related summary and report...
2018: Cost Effectiveness and Resource Allocation: C/E
Giulia Rinaldi, Aliasghar A Kiadaliri, Hassan Haghparast-Bidgoli
Background: Sex workers have high incidences of HIV and other sexually transmitted diseases. Although, interventions targeting sex workers have shown to be effective, evidence on which strategies are most cost-effective is limited. This study aims to systematically review evidence on the cost-effectiveness of sexual health interventions for sex workers on a global level. It also evaluates the quality of available evidence and summarizes the drivers of cost effectiveness. Methods: A search of published articles until May 2018 was conducted...
2018: Cost Effectiveness and Resource Allocation: C/E
Alemayehu Hailu, Bernt Lindtjørn, Wakgari Deressa, Taye Gari, Eskindir Loha, Bjarne Robberstad
Background: The effectiveness of long lasting insecticidal nets (LLINs) and indoor residual spraying (IRS), for malaria prevention, have been established in several studies. However, the available evidence about the additional resources required for a combined implementation (LLIN + IRS) with respect to the added protection afforded is limited. Therefore, the aim of this study was to compare the cost-effectiveness of combined implementation of LLINs and IRS, compared with LLINs alone, IRS alone, and routine practice in Ethiopia...
2018: Cost Effectiveness and Resource Allocation: C/E
Ellen Rafferty, Mohsen Yaghoubi, Jeff Taylor, Marwa Farag
No abstract text is available yet for this article.
2018: Cost Effectiveness and Resource Allocation: C/E
Hui Yee Yeo, Asrul Akmal Shafie
Background: Malaysia has been experiencing an escalation in dengue cases since the past 5 years. As the dengue vaccine pipeline continues to develop steadily with strong public interests, this study had been sought to elicit the acceptance and the willingness to pay (WTP) for hypothetical dengue vaccine in Malaysia. Methods: This study adopted the cross-sectional, contingent valuation study that involved 400 respondents in Penang, Malaysia. The double-bounded dichotomous choice via bidding game approach was employed to elicit the WTP value for two hypothetical 3-doses dengue vaccines (Vaccines A and B with 5- and 10-years' protection, respectively against dengue)...
2018: Cost Effectiveness and Resource Allocation: C/E
Ambinintsoa H Ralaidovy, Abdulgafoor M Bachani, Jeremy A Lauer, Taavi Lai, Dan Chisholm
Background: Road safety has been receiving increased attention through the United Nations Decade of Action on Road Safety, and is also now specifically addressed in the sustainable development goals 3.6 and 11.2. In an effort to enhance the response to Road Traffic Injuries (RTIs), this paper aims to examine the cost effectiveness of proven preventive interventions and forms part of an update of the WHO-CHOICE programme. Methods: Generalized cost-effectiveness analysis (GCEA) approach was used for our analysis...
2018: Cost Effectiveness and Resource Allocation: C/E
Rudy Zimmer
No abstract text is available yet for this article.
2018: Cost Effectiveness and Resource Allocation: C/E
Timo Purmonen, Kari Puolakka, Devarshi Bhattacharyya, Minal Jain, Janne Martikainen
Objective: To study cost-effectiveness of an interleukin (IL)-17A inhibitor secukinumab, with other biologics and apremilast in patients with Psoriatic arthritis (PsA) from payer perspective in Finland. Methods: In this semi-Markov model, subcutaneous (SC) secukinumab was compared with SC treatments etanercept and its biosimilar, certolizumab pegol, adalimumab and its biosimilar, golimumab, ustekinumab, intravenous (IV) treatment infliximab, as well as oral non-biologic apremilast...
2018: Cost Effectiveness and Resource Allocation: C/E
Yifan Xu, Joel W Hay, Afsaneh Barzi
Background: The alarming increase in the cost of cancer care is forcing all stakeholders to re-evaluate their approach to treatment. Drugs are the main contributor to the cost. To evaluate the significance of drug substitution on the cost of care we assessed the economic value of panitumumab vs. cetuximab in chemo-refractory metastatic CRC (mCRC) with wild-type KRAS from a US societal perspective. Methods: We developed a Markov model with three health states: progression-free, progressive, and death...
2018: Cost Effectiveness and Resource Allocation: C/E
Mireille M Goetghebeur, Marjo S Cellier
Background: Multiple technologies, procedures and programs call for fairly-based decisions for prioritization of healthcare interventions. There is a diversity of perspectives of what constitutes a legitimate decision, which depends on both the process and the reasoning applied. Current approaches focus on technical aspects while methods to support alignment of decisions with the compassionate impetus of healthcare systems is lacking. Methods: The framework was developed based on an analysis of the foundations of healthcare systems, the reasoning underlying decisions and fair processes...
2018: Cost Effectiveness and Resource Allocation: C/E
Silvana Luciani, Anselm Hennis
Decision making in health requires the use of sound evidence and context-specific information, guided by a priority setting methodology or framework. For noncommunicable disease (NCD) prevention and control, a decision-making methodology has been applied by the World Health Organization to delineate priorities, and options for cost-effective NCD interventions. A set of 14 interventions considered very cost-effective, affordable and feasible for implementation in various resource level settings were identified...
2018: Cost Effectiveness and Resource Allocation: C/E
Rashmi Dayalu, Elizabeth T Cafiero-Fonseca, Victoria Y Fan, Heather Schofield, David E Bloom
Background: Priority setting in a climate of diverse needs and limited resources is one of the most significant challenges faced by health care policymakers. This paper develops and applies a comprehensive multi-criteria algorithm to help determine the relative importance of health conditions that affect a defined population. Methods: Our algorithm is implemented in the context of the Waikato District Health Board (WDHB) in New Zealand, which serves approximately 10% of the New Zealand population...
2018: Cost Effectiveness and Resource Allocation: C/E
Norman Daniels
Multiple criteria decision analysis (MCDA) has been proposed as a method for determining the criteria to be used in health technology assessment. A standard criticism of MCDA is that it lacks attention to securing legitimacy for its decisions. The relevance condition of A4R has been criticized for its vagueness because it lacks a focus on criteria selection. Combining the two methods addresses the central criticisms of each and provides a way of addressing the problem of priority setting for health.
2018: Cost Effectiveness and Resource Allocation: C/E
Victoria Y Fan
Multi-criteria decision analysis (MCDA) has the potential to increase the consistency, transparency and rigour with which these criteria inform decisions. Political context is relevant not only as a motivation for turning to MCDA but also the context in which MCDA can be successfully implemented. A policy entrepreneur can spearhead the creation of a process to carry out MCDA and can help to create and build the capacity of a public institution that observes and convenes this process, an institution that has legal authority to carry out such a function...
2018: Cost Effectiveness and Resource Allocation: C/E
David E Bloom, Daniel Cadarette, Rashmi Dayalu, Jessica Sullivan
No abstract text is available yet for this article.
2018: Cost Effectiveness and Resource Allocation: C/E
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