Measuring cost-effectiveness of secondary health care: Feasibility and potential utilization of results

2005 ◽  
Vol 21 (1) ◽  
pp. 22-31 ◽  
Author(s):  
Pirjo Räsänen ◽  
Harri Sintonen ◽  
Olli-Pekka Ryynänen ◽  
Marja Blom ◽  
Virpi Semberg-Konttinen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Cost Effectiveness ◽  
Data Collection ◽  
Treatment Effectiveness ◽  
Life Data ◽  
Secondary Health Care ◽  
Related Quality ◽  
Health Related

Objectives: Whether cost-effectiveness of secondary health care can be measured in a simple, yet commensurate way was studied.Methods: Approximately 4,900 patients' health-related quality of life scores before and after treatment were measured. Used were a combination of quality of life data with diagnostic and financial indicators routinely collected in the hospital.Results: Seventy percent of patients returned the first questionnaire and the informed written consent to participate. Of these patients, 80 percent also returned the second questionnaire sent out 3 to 12 months after treatment, depending on clinical specialty and diagnostic category. The routine of sending out questionnaires could be automated in such a way that data collection required only a limited amount of extra work. Patients were generally satisfied with the fact that the hospital was interested in their well-being also after treatment. No physician offered the chance to participate refused data collection in the patient group he or she was responsible for. The attitudes of the nursing staff were generally positive toward data collection, although it caused some extra work for some of them. The possibility of relating already routinely collected financial performance indicators with a relevant measure of treatment effectiveness, opened prospects for refined analysis of cost-effectiveness of secondary health care.Conclusions: Routine collection of health-related quality of life data as an indicator of treatment effectiveness is feasible, requires only a small amount of extra work, and is potentially very useful when combined with existing measures of hospital performance.

scholarly journals The Effects of Preventive Home Visits on Older People’s Use of Health Care and Social Services and Related Costs

2019 ◽  
Vol 75 (8) ◽  
pp. 1586-1593
Author(s):  
Heini A Liimatta ◽  
Pekka Lampela ◽  
Hannu Kautiainen ◽  
Pirjo Laitinen-Parkkonen ◽  
Kaisu H Pitkala
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Cost Effectiveness ◽  
Social Services ◽  
Health Related Quality ◽  
Quality Adjusted Life Years ◽  
Related Quality ◽  
Health Related ◽  
Quality Adjusted Life

Abstract Background We use data from a randomized controlled trial on preventive home visits exploring effectiveness on health-related quality of life. In this article, we examine the intervention’s cost-effectiveness and effects on quality-adjusted life years in older home-dwelling adults. Methods There were 422 independently home-dwelling participants in the randomized, controlled trial, all aged more than 75 years, with equal numbers in the control and intervention groups. The intervention took place in a municipality in Finland and consisted of multiprofessional preventive home visits. We gathered the data on health care and social services use from central registers and medical records during 1 year before the intervention and 2 years after the intervention. We analyzed the total health care and social services use and costs per person-years and the difference in change in health-related quality of life as measured using the 15D measure. We calculated quality-adjusted life years and incremental cost-effectiveness ratios. Results There was no significant difference in baseline use of services or in the total use and costs of health care and social services during the 2-year follow-up between the two groups. In the intervention group, health-related quality of life declined significantly more slowly compared with the control group (–0.015), but there was no significant difference in quality-adjusted life years gained between the groups. The cost-effectiveness plane showed 60% of incremental cost-effectiveness ratios lying in the dominant quadrant, representing additional effects with lower costs. Conclusions This multiprofessional preventive home visit intervention appears to have positive effects on health-related quality of life without accruing additional costs. The clinical trial registration number ACTRN12616001411437.

scholarly journals Feasibility of Internet-Based Health-Related Quality of Life Data Collection in a Large Patient Cohort

2010 ◽  
Vol 12 (3) ◽  
pp. e35 ◽  
Author(s):  
Sacha Bhinder ◽  
Noori Chowdhury ◽  
John Granton ◽  
Murray Krahn ◽  
D Elizabeth Tullis ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Data Collection ◽  
Health Related Quality ◽  
Patient Cohort ◽  
Life Data ◽  
Large Patient Cohort ◽  
Large Patient ◽  
Related Quality ◽  
Health Related

Assessing intra-individual changes in health related quality of life data in psychiatric clinical trials

2004 ◽  
Vol 15 (5) ◽  
pp. 491-499
Author(s):  
Sati Mazumdar ◽  
Mary Amanda Dew ◽  
Patricia R. Houck ◽  
Charles F. Reynolds
Keyword(s):  
Quality Of Life ◽  
Clinical Trials ◽  
Health Related Quality ◽  
Life Data ◽  
Related Quality ◽  
Health Related

scholarly journals A new method to extract Health Related Quality of Life data from social media testimonies (Preprint)

10.2196/31528 ◽  
2021 ◽  
Author(s):  
Simon Renner ◽  
Tom Marty ◽  
Mickaïl Khadhar ◽  
Pierre Foulquié ◽  
Paméla Voillot ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Media ◽  
New Method ◽  
Health Related Quality ◽  
Life Data ◽  
Related Quality ◽  
Health Related

scholarly journals Oral health-related quality of life in patients with X-linked hypophosphatemia: a qualitative exploration

2021 ◽  
Author(s):  
Caroline Nguyen ◽  
Elisabeth Celestin ◽  
Delphine Chambolle ◽  
Agnès Linglart ◽  
Martin Biosse Duplan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Oral Health ◽  
Care Pathway ◽  
Clinical Signs ◽  
Oral Health Care ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Abstract Background. X-linked hypophosphatemia (XLH) is a rare, hereditary, and lifelong phosphate wasting disorder characterized by rickets in childhood and impaired teeth mineralization. In the oral cavity, spontaneous abscesses can often occur without any clinical signs of alteration of the causal tooth. The objective of our study was to evaluate the oral care pathway and the oral health-related quality of life (OHRQoL) of patients followed in an expert oral medicine department located within a Parisian hospital and working in close collaboration with an endocrinology department expert in this pathology. Methods. This study employed a qualitative descriptive design including semi-structured interviews using guiding themes. Results. Twenty-one patients were included in the study. The topics brought up exceeded the initial objectives as the patients mostly addressed the alteration of their oral and general quality of life; a very chaotic oral health care pathway with oral health professionals not aware of their pathology; consequences on their social, professional, and school integration; access to care complicated by financial factors. Patients declared the importance of having a multidisciplinary team around them, including medical and dental professionals.Conclusions. The variety of manifestations in patients with XLH necessitates a high coordination of multidisciplinary patient care to optimize quality of life and reduce disease burden. Oral health care pathways are very chaotic for patients who have difficulty finding professionals with sufficient knowledge of the disease. OHRQoL is therefore diminished. This situation improves when patients enter a coordinated care network.

scholarly journals Investigation on the Current Situation and Health-Related Quality of Life of Children and adolescents with OI in southwest China

2021 ◽  
Author(s):  
fanyan du ◽  
lin mo
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Children And Adolescents ◽  
Endocrine Therapy ◽  
Southwest China ◽  
Healthy Children ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Abstract Background: Osteogenesis imperfecta（OI）is a chronic, non-infectious disease that accompanies the patient for life. OI will result in reduced bone mass, fractures, thereby leading to bone deformities and reduced patient the health-related quality of life (HRQoL). With the endocrine therapy and surgical orthopedic had been recommended, the disease was effectively controlled. The disease status is discrepancy in different regions. This study aims to assess the diagnosis and treatment status, evaluate the HRQoL of children and adolescents with OI in southwest China, and analyze the influencing factors, so as to provide reference for health care consideration for OI population in southwest China.Methods: This cross-sectional study was performed using the Pediatric Quality of Life InventoryTM (PedsQL TM) to assess the HRQoL of children and adolescents with OI. The demographic and clinical data were collected. This study was conducted in Children’s Hospital of Chongqing Medical University, the National Children's Regional Medical Centre (SOUTH-WEST) and the National Clinical Research for child health. Healthy children and adolescents aged 2 to 18 years lived in southwest China as a reference.Results: A total of 27 children and adolescents with OI were included in this study. The current status of diagnosis and treatment such as the treatment, education, family, BMI, pain, steep walking and friends and so on had been investigated. The PedsQLTM of OI population was lower in all dimensions, and they were significantly different in physiological and social functioning and the total score, compared with 54 healthy children and adolescents. Factors associated with HRQoL of OI patients were the steep walking and fixing a playmate at less.Conclusions: The HRQoL of children and adolescents with OI had been improved with the endocrine therapy and surgical orthopedic. But there was an imbalance around the world for the less effective management. Health care education should be more professional, effectively and continuously. Training patients to gain steep walking ability and peer companionship could be a way to improve the HRQoL of children and adolescents with OI in southwest China. The medical staff also should pay attention to their life and growth after discharge.

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