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The costs of a sexually transmitted infection outreach and treatment programme targeting most at risk youth in TajikistanEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: While the cost-effectiveness of similar programmes have been previously assessed using modelled data, more work needs to be done to assess the costs of new programmes in relation to financial resources available. Full costing should consider cost-savings as well as expenditures. If feasible, the impact of the programme should be monitored over time. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - November 3, 2009 Category: Health Management Authors: Nisso KasymovaBenjamin JohnsBenusrat Sharipova Source Type: journals

Can economic evaluation of telemedicine be trusted? A systematic review of the literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: As this paper demonstrates, the majority of the economic evaluations reviewed were not in accordance with standard evaluation techniques. Further research is needed to explore the reasons for this and to address how economic evaluation in telemedicine best can take advantage of local constraints and at the same time produce valid and generalisable results. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - October 23, 2009 Category: Health Management Authors: Trine Bergmo Source Type: journals

Medical net cost of low alcohol consumption - a cause to reconsider improved health as the link between alcohol and wage?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Using health as an explanation in the alcohol-wage literature appears invalid when applying the full epidemiological information instead of selected information. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - October 22, 2009 Category: Health Management Authors: Johan JarlUlf-G GerdthamKlara Hradilova Selin Source Type: journals

Estimating average inpatient and outpatient costs and childhood pneumonia and diarrhoea treatment costs in an urban health centre in ZambiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: In the face of insufficient data, a cost analysis exercise is a difficult but feasible undertaking. The study findings are useful and applicable in similar settings, and can be used in cost effectiveness analyses of health interventions. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - October 20, 2009 Category: Health Management Authors: Lumbwe CholaBjarne Robberstad Source Type: journals

Cost-Effectiveness and Resource Allocation (CERA) - directions for the futureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The journal Cost-Effectiveness and Resource Allocation (CERA) is now in its seventh year, and is an excellent example of how open access publishing can improve dissemination. Now the journal is through its infancy, it is time to reflect on its orientation and to define the strategy for the years to come. Firstly, the journal will pay particular attention to stimulating and publishing studies originating from low- and middle-income countries. Second, CERA will continue to solicit contributions originating from high-income countries, but with the caveat that such studies should be of interest to the broad international reade...
Source: Cost Effectiveness and Resource Allocation - July 22, 2009 Category: Health Management Authors: Rob BaltussenArnab AcharyaKathryn AntiochDan ChisholmRichard GrieveJoses KirigiaTessa Tan Torres EdejerDamien WalkerDavid Evans Source Type: journals

Comparing the performance of the EQ-5D and SF-6D when measuring the benefits of alleviating knee painEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Different utility measures can be used within cost-effectiveness analyses, where these may provide different results. We sought to compare the practicality, validity and responsiveness of using each of two utility measures (the EQ-5D and SF-6D) to measure the benefits of alleviating knee pain. Methods: Participants in a randomised controlled trial, which was designed to compare four different interventions for people with self-reported knee pain, were asked to complete the EQ-5D, SF-6D, and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) at both pre- and post-intervention. For both utilit...
Source: Cost Effectiveness and Resource Allocation - July 16, 2009 Category: Health Management Authors: Garry BartonTracey SachAnthony AveryMichael DohertyClaire JenkinsonKenneth Muir Source Type: journals

Cost-effectiveness of anti-retroviral therapy at a district hospital in southern EthiopiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The undiscounted and discounted incremental costs per LYG from introducing ART were less than the per capita GDP threshold at the base year. Thus, ART could be regarded as cost-effective in a district hospital setting in Ethiopia. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - July 16, 2009 Category: Health Management Authors: Asfaw Demissie BikillaDegu JereneBjarne RobberstadBernt Lindtjorn Source Type: journals

Generalized cost-effectiveness analysis of a package of interventions to reduce cardiovascular disease in Buenos Aires, ArgentinaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Against a threshold of average per capita income in Argentina, the two selected population-based interventions (lowering salt intake and health education through mass-media campaigns) plus the modified polypill strategy targeting people with a 20% or greater risk were cost-effective. Use of this methodology in developing countries can make resource-allocation decisions less intuitive and more driven by evidence. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - May 6, 2009 Category: Health Management Authors: Adolfo Rubinstein, Sebastian Garcia Marti, Alberto Souto, Daniel Ferrante and Federico Augustovski Source Type: journals

Cost-effectiveness of pioglitazone in type 2 diabetes patients with a history of macrovascular disease: a German perspectiveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The findings of this modelling analysis indicated that, for patients with a history of macrovascular disease, addition of pioglitazone to existing therapy reduces the long-term cumulative incidence of diabetes-complications at a cost that would be considered to represent good value for money in the German setting. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - May 5, 2009 Category: Health Management Authors: Werner A Scherbaum, Gordon Goodall, Katrina M Erny-Albrecht, Massimo Massi-Benedetti, Erland Erdmann and William J Valentine Source Type: journals

Preventing panic disorder: cost-effectiveness analysis alongside a pragmatic randomised trialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: This is the first economic evaluation alongside a prevention trial in panic disorder. The small sample (n=117) and the short time horizon of 3 months preclude firm conclusions, but our findings suggest that the intervention may be acceptable from a cost-effectiveness point of view, especially when therapist involvement can be kept minimal. Nevertheless, our results must await replication in a larger trial with longer follow-up times before we can confidently recommend implementation of the intervention on a broad scale. In the light of our findings and given the burden of panic disorder, such a new trial is wel...
Source: Cost Effectiveness and Resource Allocation - April 24, 2009 Category: Health Management Authors: Filip Smit, Godelief Willemse, Peter Meulenbeek, Marc Koopmanschap, Anton van Balkom, Philip Spinhoven and Pim Cuijpers Source Type: journals

Single food focus dietary guidance: lessons learned from an economic analysis of egg consumptionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This study evaluating the economic impact of egg consumption suggests that public health campaigns promoting limiting egg consumption as a means to reduce CHD risk would not be cost-effective from a societal perspective when other benefits are considered. Public health intervention that focuses on a single dietary constituent, and foods that are high in that constituent, may lead to unintended consequences of removing other beneficial constituents and the net effect may not be in its totality a desirable public health outcome. As newer data become available, the model should be updated. (Source: Cost Effective...
Source: Cost Effectiveness and Resource Allocation - April 14, 2009 Category: Health Management Authors: Jordana K Schmier, Leila M Barraj and Nga L Tran Source Type: journals

Cost estimates of HIV care and treatment with and without anti-retroviral therapy at Arba Minch Hospital in southern EthiopiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The cost profile of ART at a district hospital level may be useful in the planning and budgeting of implementing ART programs in Ethiopia. Further studies that focus on patient costs are warranted to capture all patterns of service use and relevant costs. Economic evaluations combining cost estimates with clinical outcomes would be useful for ranking of ART services. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - April 13, 2009 Category: Health Management Authors: Asfaw D Bikilla, Degu Jerene, Bjarne Robberstad and Bernt Lindtjorn Source Type: journals

Cost-effectiveness model comparing olanzapine and other oral atypical antipsychotics in the treatment of schizophrenia in the United StatesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The utilization of olanzapine is predicted in this model to result in better clinical outcomes and lower total direct health care costs compared to generic risperidone, quetiapine, ziprasidone, and aripiprazole. Olanzapine may, therefore, be a cost-effective therapeutic option for patients with schizophrenia. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - April 7, 2009 Category: Health Management Authors: Nicolas M Furiak, Haya Ascher-Svanum, Robert W Klein, Lee J Smolen, Anthony H Lawson, Robert R Conley and Steven D Culler Source Type: journals

The economic burden of inpatient paediatric care in Kenya: household and provider costs for treatment of pneumonia, malaria and meningitisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Treatments cost for inpatient malaria, pneumonia and meningitis vary by facility type, with mission and tertiary referral facilities being more expensive compared to primary referral. Households of sick children contribute significantly towards provider cost through payment of user fees. These findings could be used in cost effectiveness analysis of health interventions. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - January 22, 2009 Category: Health Management Authors: Philip Ayieko, Angela O Akumu, Ulla K Griffiths and Mike English Source Type: journals

The economic burden of inpatient paediatric care: household and provider costs for treatment of pneumonia, malaria and meningitisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Treatments cost for inpatient malaria, pneumonia and meningitis vary by facility type, with mission and tertiary referral facilities being more expensive compared to primary referral. Households of sick children contribute significantly towards provider cost through payment of user fees. These findings could be used in cost effectiveness analysis of health interventions. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - January 22, 2009 Category: Health Management Authors: Philip Ayieko, Angela O Akumu, Ulla K Griffiths and Mike English Source Type: journals

Cost effectiveness of community-based therapeutic care for children with severe acute malnutrition in Zambia: decision tree modelEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: CTC is relatively cost effective compared to other priority health care interventions in developing countries, for a wide range of assumptions. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - January 15, 2009 Category: Health Management Authors: Max O Bachmann Source Type: journals

Cost analysis of an integrated disease surveillance and response system: case of Burkina Faso, Eritrea, and MaliEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: This study demonstrates that the IDSR strategy can be considered a low cost public health system although the benefits have yet to be quantified. These data can also be used in future studies of the cost-effectiveness of IDSR. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - January 8, 2009 Category: Health Management Authors: Zana C Somda, Martin I Meltzer, Helen N Perry, Nancy E Messonnier, Usman Abdulmumini, Goitom Mebrahtu, Massambou Sacko, Kandioura Toure, Salimnta Ouedraogo Ki, Tuoyo Okorosobo, Wondimagegnehu Alemu and Idrissa Sow Source Type: journals

Capacity utilization and the cost of primary care visits: Implications for the costs of scaling up health interventionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ObjectiveA great deal of international attention has been focussed recently on how much additional funding is required to scale up health interventions to meet global targets such as the Millennium Development Goals (MDGs). Most of the cost estimates that have been made in response have assumed that unit costs of delivering services will not change as coverage increases or as more and more interventions are delivered together. This is most unlikely. The main objective of this paper is to measure the impact of patient load on the cost per visit at primary health care facilities and the extent to which this would influence e...
Source: Cost Effectiveness and Resource Allocation - November 13, 2008 Category: Health Management Authors: Taghreed Adam, Steeve Ebener, Benjamin Johns and David B Evans Source Type: journals

Cost-effectiveness analysis for joint pain treatment in patients with osteoarthritis treated at the Instituto Mexicano del Seguro Social (IMSS): Comparison of nonsteroidal anti-inflammatory drugs (NSAIDs) vs. cyclooxygenase-2 selective inhibitorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: From a Mexican institutional perspective and probably in other Social Security Institutions in similar developing countries, the most cost-effective option for treatment of knee and/or hip OA would be celecoxib. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - November 12, 2008 Category: Health Management Authors: Iris Contreras-Hernandez, Joaquin F Mould-Quevedo, Ruben Torres-Gonzalez, Maria V Goycochea-Robles, Reyna L Pacheco-Dominguez, Sergio Sanchez-Garcia, Juan M Mejia-Arangure and Juan Garduno-Espinosa Source Type: journals

Societal costs of air pollution-related health hazards: A review of methods and resultsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This paper aims to provide a critical and systematic review of the societal costs of air pollution-related ill health (CAP), to explore methodological issues that may be important when assessing or comparing CAP across countries and to suggest ways in which future CAP studies can be made more useful for policy analysis. The methodology includes a systematic search based on the major electronic databases and the websites of a number of major international organizations. Studies are categorized by origin -- OECD countries or non-OECD countries -- and by publication status. Seventeen studies are included, eight from OECD coun...
Source: Cost Effectiveness and Resource Allocation - September 11, 2008 Category: Health Management Authors: Tanjima Pervin, Ulf-G Gerdtham and Carl Hampus Lyttkens Source Type: journals

Cost-effectiveness of smoking cessation to prevent age-related macular degenerationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Smoking cessation is unequivocally cost-effective in terms of its impact on age-related macular degeneration outcomes alone. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - September 11, 2008 Category: Health Management Authors: Susan F Hurley, Jane P Matthews and Robyn H Guymer Source Type: journals

The costs of traumatic brain injury due to motorcycle accidents in Hanoi, VietnamEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: All three component costs of TBI were high; the direct cost accounted for the largest proportion, with costs rising with the severity of TBI. The results suggest that the burden of TBI can be catastrophic for families because of high direct costs, significant time off work for patients and caregivers, and impact on health-related quality of life. Further research is warranted to explore the actual social and economic benefits of mandatory helmet use. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - August 22, 2008 Category: Health Management Authors: Hanh TM Hoang, Tran L Pham, Thuy TN Vo, Phuong K Nguyen, Christopher M Doran and Peter S Hill Source Type: journals

People's willingness to pay for health insurance in rural VietnamEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Since WTP is sufficient to cover household costs for public health care, it depends to what extent households would substitute private for public care and increase utilization as to whether WTP would also be sufficient enough to finance health insurance. This study highlights potential for public information schemes that may change the negative attitude towards health insurance, which this study has uncovered. A key task for policy makers is to win the trust of the population in relation to a health insurance system, particularly among the old and those with relatively low education. (Source: Cost Effectivenes...
Source: Cost Effectiveness and Resource Allocation - August 11, 2008 Category: Health Management Authors: Curt Lofgren, Nguyen X Thanh, Nguyen TK Chuc, Anders Emmelin and Lars Lindholm Source Type: journals

Setting priorities for the health care sector in Zimbabwe using cost-effectiveness analysis and estimates of the burden of diseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The present study showed that it was feasible to conduct cost-effectiveness analyses for a large number of health interventions in a developing country like Zimbabwe using a consistent methodology. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - July 28, 2008 Category: Health Management Authors: Kristian Schultz Hansen and Glyn Chapman Source Type: journals

Decision-maker views on priority setting in the Vancouver Island Health AuthorityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This study makes a contribution to a growing body of knowledge which provides the type of contextual evidence that is required if priority setting processes are to be used successfully by health care decision-makers. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - July 21, 2008 Category: Health Management Authors: Francois Dionne, Craig Mitton, Neale Smith and Cam Donaldson Source Type: journals

Cost-effectiveness of ranibizumab for neovascular age-related macular degenerationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: From a societal perspective, ranibizumab was cost-saving. From a health care funder's perspective, ranibizumab was an efficient treatment when it cost less than $1000 per dose. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - June 24, 2008 Category: Health Management Authors: Susan F Hurley, Jane P Matthews and Robyn H Guymer Source Type: journals

Non-pharmaceutical prevention of hip fractures - a cost-effectiveness analysis of a community-based elderly safety promotion program in SwedenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The community-based elderly safety promotion program aiming at preventing accidental falls seems as cost-effective as osteoporosis pharmaceuticals. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - May 30, 2008 Category: Health Management Authors: Pia M Johansson, Siv Sadigh, Per E Tillgren and Clas Rehnberg Source Type: journals

Formulas for estimating the costs averted by sexually transmitted infection (STI) prevention programs in the United StatesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The formulas developed in this study can be a useful tool for STI program personnel to generate evidence-based estimates of the economic impact of their program and can facilitate the assessment of the cost-effectiveness of their activities. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - May 23, 2008 Category: Health Management Authors: Harrell W Chesson, Dayne Collins and Kathryn Koski Source Type: journals

Is the value of a life or life-year saved context specific? Further evidence from a discrete choice experimentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Results confirm that a trade-off exists between cost, effectiveness and non-health arguments when respondents prioritise health programs. That said, it is true that respondents were more likely to select less costly, more effective interventions - confirming that it is an adjustment to, rather than an outright rejection of, simple health maximisation that is required. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - May 20, 2008 Category: Health Management Authors: Duncan Mortimer and Leonie Segal Source Type: journals

Review of Australian health economic evaluation- 245 interventions: what can we say about cost-effectiveness?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: There is an increasing body of published cost-utility analyses of health interventions which we sought to draw together to inform research and policy. Methods: To achieve consistency in costing base and policy context, study scope was limited to Australian-based cost-effectiveness analyses. Through a comprehensive literature review we identified 245 health care interventions that met our study criteria. Results: The median cost-effectiveness ratio was A$18,100 (~US$13,000) per QALY/DALY/LY (quality adjusted life year gained or, disability adjusted life year averted or life year gained). Some modalities tended t...
Source: Cost Effectiveness and Resource Allocation - May 20, 2008 Category: Health Management Authors: Kim Dalziel, Leonie Segal and Duncan Mortimer Source Type: journals

S4HARA: System for HIV/AIDS resource allocationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Condom uptake at the clinic should be increased by changing the condom distribution policy from a pull system to a push system. NGOs and donors promoting antiretroviral programs at the clinic should be sensitized to the results of the model and urged to invest in wellness programs aimed at the prevention and treatment of opportunistic infections. S4HARA differentiates itself from other decision support tools by providing rational HIV/AIDS resource allocation capabilities as well as consideration of the realities facing authorities in their decision-making process. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - March 26, 2008 Category: Health Management Authors: Arielle Lasry, Michael W Carter and Gregory S Zaric Source Type: journals

Does productivity influence priority setting? A case study from the field of CVD preventionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this case study, different measures aimed at preventing cardiovascular diseases (CVD) in different target groups have been ranked based on cost per QALY from a health care sector perspective and from a societal perspective, respectively. The innovation in this study is to introduce a budget constraint and thereby show exactly which groups would be included or excluded in treatment or intervention programs based on the two perspectives. Approximately 90% of the groups are included in both perspectives. Mainly elderly women are excluded when the societal perspective is used and mainly middle-aged men are excluded when the...
Source: Cost Effectiveness and Resource Allocation - March 17, 2008 Category: Health Management Authors: Lars Lindholm, Emil Lofroth and Mans Rosen Source Type: journals

Could CT screening for lung cancer ever be cost effective in the United Kingdom ?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: It is evident that eventually being able to identify a cost effective regimen of CT screening for lung cancer in the UK is by no means an unreasonable expectation. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - February 26, 2008 Category: Health Management Authors: David K Whynes Source Type: journals

Adding a quadrivalent human papillomavirus vaccine to the UK cervical cancer screening programme: a cost-effectiveness analysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: These analyses suggest that adding a quadrivalent HPV vaccine to current screening in the UK could be a cost-effective method for further reducing the burden of cervical cancer. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - February 15, 2008 Category: Health Management Authors: Shalini L Kulasingam, Steve Benard, Ruanne V Barnabas, Nathalie Largeron and Evan R Myers Source Type: journals

The cost of antiretroviral therapy in HaitiEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Initial ART treatment in Haiti costs approximately $US 1,000 per patient per year. With generic first-line antiretroviral drugs, only 36% of the cost is for medications. Patients who change regimens are significantly more expensive to treat, highlighting the need for less-expensive second-line drugs. There may be sufficient health care personnel to treat all HIV-infected patients in urban areas of Haiti, but not in rural areas. New models of HIV care are needed for rural areas using assistant medical officers and community health workers. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - February 14, 2008 Category: Health Management Authors: Serena P Koenig, Cynthia Riviere, Paul Leger, Patrice Severe, Sidney Atwood, Daniel Fitzgerald, Jean W Pape and Bruce R Schackman Source Type: journals

Integrating tuberculosis and HIV services for people living with HIV: costs of the Zambian ProTEST InitiativeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This study shows that coordinating an integrated and comprehensive package of services for PLWH is relatively inexpensive. The lessons learnt in this study are still applicable today in the era of ART, as these services must still be provided as part of the continuum of care for people living with HIV. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - January 23, 2008 Category: Health Management Authors: Fern Terris-Prestholt, Lilani Kumaranayake, Rokaya Ginwalla, Helen Ayles, Ignatius Kayawe, Mary Hillery and Peter Godfrey-Faussett Source Type: journals

Dynamic effects of smoking cessation on disease incidence, mortality and quality of life: the role of time since cessationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The results show that simulation models are sensitive to assumptions made in specifying the model. The model should be specified carefully in accordance with the questions it is supposed to answer. If the aim of the model is to estimate effects of smoking cessation interventions on mortality and morbidity, one should include relapse of quitters and dependency on time since cessation of incidence rates of smoking-related chronic diseases. A drawback of such models is that data requirements are extensive. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - January 11, 2008 Category: Health Management Authors: Rudolf T Hoogenveen, Pieter HM van Baal, Hendriek C Boshuizen and Talitha L Feenstra Source Type: journals

Cost-utility analysis of a national project to reduce hypertension in IsraelEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The project which saves both lives and resources should be extended nation-wide to reach as wide a population as possible. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - November 28, 2007 Category: Health Management Authors: Chaim Yosefy, Garry Ginsberg, Reuven Viskoper, Dror Dicker and Dov Gavish Source Type: journals

Cost-effectiveness of tipranavir versus comparator protease inhibitor regimens in HIV infected patients previously exposed to antiretroviral therapy in the NetherlandsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: We estimated the iCER for TPV/r compared to CPI/r at approximately E40,000 in treatment experienced HIV-1 infected patients in the Netherlands. This ratio may well be in range of what is acceptable and warrants reimbursement for new drug treatments in the Netherlands, in particular in therapeutic areas as end-stage oncology and HIV and other last-resort health-care interventions. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - November 22, 2007 Category: Health Management Authors: Gijs AA Hubben, Jasper M Bos, Christa A Veltman-Starkenburg, Simon Stegmeijer, Henrik W Finnern, Bregt S Kappelhoff, Kit N Simpson, Andrea Tramarin and Maarten J Postma Source Type: journals

The effect of environmental factors on technical and scale efficiency of primary health care providers in GreeceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: The purpose of this study was to compare technical and scale efficiency of primary care centers from the two largest Greek providers, the National Health System (NHS) and the Social Security Foundation (IKA) and to determine if, and how, efficiency is affected by various exogenous factors such as catchment population and location. Methods: The sample comprised of 194 units (103 NHS and 91 IKA). Efficiency was measured with Data Envelopment Analysis (DEA) using three inputs, -medical staff, nursing/paramedical staff, administrative/other staff- and two outputs, which were the aggregated numbers of scheduled/eme...
Source: Cost Effectiveness and Resource Allocation - November 17, 2007 Category: Health Management Authors: Nick Kontodimopoulos, Georgios Moschovakis, Vassilis H Aletras and Dimitris Niakas Source Type: journals

A cost function for HIV prevention services: is there a 'u' -shape?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Global resource needs estimation is a critical part of addressing the HIV/AIDS epidemic. To generate these estimates knowledge of costs and cost structures is required. The evidence base for costs of HIV prevention programmes is limited. Even less is known about the existence of economies scale and whether, as economic theory suggests, average costs form a 'u'-shaped curve as scale increases. Using an econometric analysis, this paper addresses this question by estimating marginal costs and economies of scale for HIV prevention programmes for vulnerable groups in Southern India with different levels of coverage....
Source: Cost Effectiveness and Resource Allocation - November 5, 2007 Category: Health Management Authors: Lorna Guinness, Lilani Kumaranayake and Kara Hanson Source Type: journals

Methods for analyzing cost effectiveness data from cluster randomized trialsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Cost effectiveness analyses alongside cluster randomized trials need to account for study design. Several theoretically coherent methods can be implemented with common statistical software. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - September 6, 2007 Category: Health Management Authors: Max O Bachmann, Lara Fairall, Allan Clark and Miranda Mugford Source Type: journals

The use of the Transition cost accounting system in health services researchEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Transition cost accounting system integrates clinical, resource utilization, and financial information and is currently being used by several hospitals in Canada and the United States to calculate the costs of patient care. Our objectives were to review the use of hospital-based cost accounting systems to measure costs of treatment and discuss potential use of the Transition cost accounting system in health services research. Such systems provide internal reports to administrators for formulating major policies and strategic plans for future activities. Our review suggests that the Transition cost accounting informatio...
Source: Cost Effectiveness and Resource Allocation - August 8, 2007 Category: Health Management Authors: Arik Azoulay, Nadine M Doris, Kristian B Filion, Joanna Caron, Louise Pilote and Mark J Eisenberg Source Type: journals

Cost-effectiveness of a nurse-led telemonitoring intervention based on peak expiratory flow measurements in asthmatics: results of a randomised controlled trialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions If the outcome is measured by generic quality of life the nurse-led telemonitoring programme is of limited cost-effectiveness in the study population. From the societal perspective the probability of the programme being cost-effective compared to regular care was 85% at a ceiling ratio of euro 80,000 /QALY gained among the adults and 68% among the children. A decrease in the price of the asthma monitor will substantial increase the probability of the programme to be cost-effective. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - July 27, 2007 Category: Health Management Authors: Danielle CM Willems, Manuela A Joore, Johannes JE Hendriks, Emiel FM Wouters and Johan L Severens Source Type: journals

The economic burden of treating neonates in Intensive Care Units (ICUs) in GreeceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Neonatal intensive care in Greece is associated with significant costs that exceed reimbursement from social funds. Reimbursement should be adjusted to make neonatal intensive care economically viable to private hospitals and thus, increase capacity of the services provided. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - July 16, 2007 Category: Health Management Authors: Mary Geitona, Magdalini Hatzikou, Zoi Hatzistamatiou, Aggeliki Anastasiadou and Theodora Theodoratou Source Type: journals

Modelling cost-effectiveness of different vasectomy methods in India, Kenya, and MexicoEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Based on the results presented, more effective methods of vasectomy--including FI, thermal cautery, and thermal cautery combined with FI--are more cost-effective than L and E alone. Analysis shows that for a programme in which a minimum of 20 clients undergo vasectomies per month, the cost per CYP is reduced in all three countries by updated vasectomy methods. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - July 13, 2007 Category: Health Management Authors: Yancy Seamans and Claudia M Harner-Jay Source Type: journals

Estimating cost savings from regionalizing cardiac procedures using hospital discharge dataEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Higher volumes were associated with lower costs per procedure. However, the total potential savings from regionalizing cardiac procedures is relatively minor, and may not justify the risks of reducing access to needed services. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - June 29, 2007 Category: Health Management Authors: Vivian Ho and Laura A Petersen Source Type: journals

Quantifying the economic burden of malaria in Nigeria using the willingness to pay approachEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: In the long term, it is important to recognize that health and poverty are closely linked. Reducing the burden of malaria in Nigeria will help to contribute to the economic well-being of communities; and poverty-reduction will be an essential input into improving health. National malaria control programme in Nigeria and their partners need to recognize these links, and identify mechanisms for ensuring that the poorest have access to essential health interventions. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - May 22, 2007 Category: Health Management Authors: Ayodele Jimoh, Oluyemi Sofola, Amos O Petu and Tuoyo K Okorosobo Source Type: journals

The economics of primary prevention of cardiovascular disease - A systematic review of economic evaluationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: First, this review has demonstrated the obvious lack of economic evaluations of broader health promotion interventions, when compared to clinical prevention. Second, the clear role for government to engage more actively in the economic evaluation of prevention has become very obvious, namely, to fill the gap left by private industry in terms of the evaluation of broader public health interventions and regarding clinical prevention, in light of the documented relationship between study funding and reporting of favourable results. Third, the value of greater adherence to established guidelines on economic evalua...
Source: Cost Effectiveness and Resource Allocation - May 14, 2007 Category: Health Management Authors: David L.B. Schwappach, Till A. Boluarte and Marc Suhrcke Source Type: journals

Diabetes, minor depression and health care utilization and expenditures: a retrospective database studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: People with diabetes are twice as likely to have depression as the general population. Screening for and treatment of depression is warranted, as is additional research into a causal relationship between diabetes and depression. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - April 18, 2007 Category: Health Management Authors: Lori Nichols, Phoebe L. Barton, Judith Glazner and Marianne McCollum Source Type: journals