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Cost Effectiveness Analysis of Health Service Intervention
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Cost Effectiveness Analysis of Health Service Intervention

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Economics".

Deadline for manuscript submissions: closed (28 February 2021) | Viewed by 17343

Special Issue Editor

Dr. Son Nghiem

E-Mail Website
Guest Editor
Center for Applied Health Economics, Griffith University, Brisbane, Australia
Interests: applied econometrics in health; health economics; cost-effectiveness

Special Issue Information

Dear Colleagues,

Healthcare expenditure has increased rapidly across the globe and could accelerate in the future with the trend of the aging population. Ensuring the value-for-money of health interventions is a crucial tool to help decision-makers effectively allocate finite healthcare resources1.

The Special Issue seeks novel contributions in cost-effectiveness analyses of health service interventions. We seek studies that expand the knowledge of cost-effectiveness analyses in various aspects, such as data (e.g., record linkage data), stakeholders (e.g., the involvement of end-users), and reporting standards (e.g., a new checklist for cost-effectiveness studies). This Special Issue also encourages other types of studies on cost-effectiveness analyses, including theoretical frameworks and critical reviews of current practices.

References:

  1. Weinstein, M.C.; Stason, W.B. Foundations of Cost-Effectiveness Analysis for Health and Medical Practices, New Engl. J. Med. 1977, 296,716–721.

Dr. Son Nghiem
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • cost-effectiveness analyses
  • value-for-money
  • health service interventions
  • innovation

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Published Papers (5 papers)

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Research

12 pages, 602 KiB  
Article
Comparison of Cost-Effectiveness between Inpatient and Home-Based Post-Acute Care Models for Stroke Rehabilitation in Taiwan
by Yu-Ju Tung, Wen-Chih Lin, Lin-Fu Lee, Hong-Min Lin, Chung-Han Ho and Willy Chou
Int. J. Environ. Res. Public Health 2021, 18(8), 4129; https://doi.org/10.3390/ijerph18084129 - 14 Apr 2021
Cited by 8 | Viewed by 3256
Abstract
Stroke rehabilitation focuses on alleviating post-stroke disability. Post-acute care (PAC) offers an intensive rehabilitative program as transitional care following acute stroke. A novel home-based PAC program has been initiated in Taiwan since 2019. Our study aimed to compare the current inpatient PAC model [...] Read more.
Stroke rehabilitation focuses on alleviating post-stroke disability. Post-acute care (PAC) offers an intensive rehabilitative program as transitional care following acute stroke. A novel home-based PAC program has been initiated in Taiwan since 2019. Our study aimed to compare the current inpatient PAC model with a novel home-based PAC model in cost-effectiveness and functional recovery for stroke patients in Taiwan. One hundred ninety-seven stroke patients eligible for the PAC program were divided into two different health interventional groups. One received rehabilitation during hospitalization, and the other received rehabilitation by therapists at home. To evaluate the health economics, we assessed the total medical expenditure on rehabilitation using the health system of Taiwan national health insurance and performed cost-effectiveness analyses using improvements of daily activity in stroke patients based on the Barthel index (BI). Total rehabilitative duration and functional recovery were also documented. The total rehabilitative cost was cheaper in the home-based PAC group (p < 0.001), and the cost-effectiveness is USD 152.474 ± USD 164.661 in the inpatient group, and USD 48.184 ± USD 35.018 in the home group (p < 0.001). Lesser rehabilitative hours per 1-point increase of BI score was noted in the home-PAC group with similar improvements in daily activities, life quality and nutrition in both groups. Home-based PAC is more cost-effective than inpatient PAC for stroke rehabilitation. Full article
(This article belongs to the Special Issue Cost Effectiveness Analysis of Health Service Intervention)
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9 pages, 1001 KiB  
Article
Cost-Effectiveness of Two Dry Needling Interventions for Plantar Heel Pain: A Secondary Analysis of an RCT
by Daniel Fernández, Zaid Al-Boloushi, Pablo Bellosta-López, Pablo Herrero, Manuel Gómez and Sandra Calvo
Int. J. Environ. Res. Public Health 2021, 18(4), 1777; https://doi.org/10.3390/ijerph18041777 - 12 Feb 2021
Cited by 6 | Viewed by 3228
Abstract
Plantar heel pain is a common cause of foot pain that affects patients’ quality of life and represents a significant cost for the healthcare system. Dry needling and percutaneous needle electrolysis are two minimally invasive treatments that were shown to be effective for [...] Read more.
Plantar heel pain is a common cause of foot pain that affects patients’ quality of life and represents a significant cost for the healthcare system. Dry needling and percutaneous needle electrolysis are two minimally invasive treatments that were shown to be effective for the management of plantar heel pain. The aim of our study was to compare these two treatments in terms of health and economic consequences based on the results of a published randomized controlled trial. For this, we evaluated the costs from the point of view of the hospital and we carried out a cost-effectiveness study using quality of life as the main variable according to the Eq-5D-5L questionnaire. The cost of the complete treatment with dry needling (DN) was €178.86, while the percutaneous needle electrolysis (PNE) was €200.90. The quality of life of patients improved and was translated into +0.615 quality-adjusted life years (QALYs) for DN and +0.669 for PNE. PNE presented an average incremental cost-effectiveness ratio (ICER) of €411.34/QALY against DN. These results indicate that PNE had a better cost-effectiveness ratio for the treatment of plantar heel pain than DN. Full article
(This article belongs to the Special Issue Cost Effectiveness Analysis of Health Service Intervention)
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15 pages, 946 KiB  
Article
Equity of Health Services Utilisation and Expenditure among Urban and Rural Residents under Universal Health Coverage
by Jianqiang Xu, Juan Zheng, Lingzhong Xu and Hongtao Wu
Int. J. Environ. Res. Public Health 2021, 18(2), 593; https://doi.org/10.3390/ijerph18020593 - 12 Jan 2021
Cited by 16 | Viewed by 3013
Abstract
Worldwide countries are recognising the need for and significance of universal health coverage (UHC); however, health inequality continues to persist. This study evaluates the status and equity of residents’ demand for and utilisation of health services and expenditure by considering the three components [...] Read more.
Worldwide countries are recognising the need for and significance of universal health coverage (UHC); however, health inequality continues to persist. This study evaluates the status and equity of residents’ demand for and utilisation of health services and expenditure by considering the three components of universal health coverage, urban-rural differences, and different income groups. Sample data from China’s Fifth Health Service Survey were analysed and the ‘five levels of income classification’ were used to classify people into income groups. This study used descriptive analysis and concentration index and concentration curve for equity evaluation. Statistically significant differences were found in the demand and utilisation of health services between urban and rural residents. Rural residents’ demand and utilisation of health services decreased with an increase in income and their health expenditure was higher than that of urban residents. Compared with middle- and high-income rural residents, middle- and lower-income rural residents faced higher hospitalisation expenses; and, compared with urban residents, equity in rural residents’ demand and utilisation of health services, and annual health and hospitalisation expenditures, were poorer. Thus, equity of health service utilisation and expenditure for urban and rural residents with different incomes remain problematic, requiring improved access and health policies. Full article
(This article belongs to the Special Issue Cost Effectiveness Analysis of Health Service Intervention)
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10 pages, 684 KiB  
Article
Should the Government Be Allowed to Take Control over Your Car as Part of a Disaster Management Plan?
by Yipeng Lv, Zafar Zafari, Boshen Jiao, Casey Chun, Lulu Zhang, Zhaoxin Wang and Peter Alexander Muennig
Int. J. Environ. Res. Public Health 2020, 17(21), 7780; https://doi.org/10.3390/ijerph17217780 - 24 Oct 2020
Cited by 1 | Viewed by 1803
Abstract
Introduction: With the Safety Ensuring Lives Future Deployment and Research in Vehicle Evolution (SELF DRIVE) Act in the United States, there is a growing interest in autonomous vehicles (AVs). One avenue of innovation would be to use them to mobilize and coordinate response [...] Read more.
Introduction: With the Safety Ensuring Lives Future Deployment and Research in Vehicle Evolution (SELF DRIVE) Act in the United States, there is a growing interest in autonomous vehicles (AVs). One avenue of innovation would be to use them to mobilize and coordinate response efforts during natural disasters. This study uses an earthquake response in an urban, developed setting as a hypothetical example case study. In this hypothetical scenario, private AVs would be mobilized to help rescue victims from collapsed structures. Methods: A Markov model compared an intervention arm with AVs to a status quo arm using a hypothetical cohort of American earthquake victims. The three possible health states were trapped but alive, rescued and alive, and dead. The cycle length of the Markov model was 6 h. Results: The cost of deploying AVs was $90,139 relative to $87,869 in status quo arm. Using AVs produced an incremental cost of $2269 (95% credible interval (CI) = $−12,985–$8959). Victims have 7.33 quality-adjusted life years (QALYs) in the intervention arm compared to 7.20 QALYs in the status quo arm, resulting in an incremental gain of 0.13 (95% CI = −0.73–2.19) QALYs. The incremental cost-effectiveness ratio (ICER) was $16,960/QALY gained (95% CI = cost-saving–$69,065/QALY). Discussion: The mobilization of private AVs in the setting of an earthquake has the potential to save money and reduce the loss of life. AVs may advance emergency management competencies. Full article
(This article belongs to the Special Issue Cost Effectiveness Analysis of Health Service Intervention)
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13 pages, 1631 KiB  
Article
The Cost-Effectiveness of Hepatitis C Virus Screening Strategies among Recently Arrived Migrants in the Netherlands
by Mohamed N.M.T. Al Khayat, Job F.H. Eijsink, Maarten J. Postma, Jan C. Wilschut and Marinus van Hulst
Int. J. Environ. Res. Public Health 2020, 17(17), 6091; https://doi.org/10.3390/ijerph17176091 - 21 Aug 2020
Cited by 2 | Viewed by 5266
Abstract
Objective: We aimed to assess the cost-effectiveness of hepatitis C virus (HCV) screening strategies among recently arrived migrants in the Netherlands. Methods: A Markov model was used to estimate the health effects and costs of HCV screening from the healthcare perspective. A cohort [...] Read more.
Objective: We aimed to assess the cost-effectiveness of hepatitis C virus (HCV) screening strategies among recently arrived migrants in the Netherlands. Methods: A Markov model was used to estimate the health effects and costs of HCV screening from the healthcare perspective. A cohort of 50,000 recently arrived migrants was used. In this cohort, three HCV screening strategies were evaluated: (i) no screening, (ii) screening of migrants from HCV-endemic countries and (iii) screening of all migrants. Results: Strategy (ii) screening of migrants from HCV-endemic countries compared to strategy (i) no screening, yielded an incremental cost-effectiveness ratio (ICER) of €971 per quality-adjusted life-years (QALYs) gained. Strategy (iii) screening of all migrants compared with strategy (ii) screening of migrants from HCV-endemic countries yielded an ICER of €1005 per QALY gained. The budget impact of strategy (ii) screening of migrants from HCV-endemic countries and strategy (iii) screening of all migrants was €13,752,039 and €20,786,683, respectively. Conclusion: HCV screening is cost-effective. However, the budget impact may have a strong influence on decision making. Full article
(This article belongs to the Special Issue Cost Effectiveness Analysis of Health Service Intervention)
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