Economic evaluations in community aged care: a systematic review
Abstract Background This paper reports the methods and findings from a systematic review of economic evaluations conducted in the community aged care sector between 2000 and 2016. Methods Online databases searched were PubMed, Medline, Scopus, and web of science, CINAHL and informit. Studies were in...
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| Format: | Article |
| Language: | English |
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BMC
2018-12-01
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| Series: | BMC Health Services Research |
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| Online Access: | http://link.springer.com/article/10.1186/s12913-018-3785-3 |
| _version_ | 1818334557663920128 |
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| author | Norma B. Bulamu Billingsley Kaambwa Julie Ratcliffe |
| author_facet | Norma B. Bulamu Billingsley Kaambwa Julie Ratcliffe |
| author_sort | Norma B. Bulamu |
| collection | DOAJ |
| description | Abstract Background This paper reports the methods and findings from a systematic review of economic evaluations conducted in the community aged care sector between 2000 and 2016. Methods Online databases searched were PubMed, Medline, Scopus, and web of science, CINAHL and informit. Studies were included if they 1) were full economic evaluations that compared both the costs and outcomes of two or more interventions 2) in study population of people aged 65 years and over 3) dependent older people living in the community 4) alternatives being compared were care models or service delivery interventions in the community aged care sector (a group of programs that have been established as a support system to allow older people to remain living in their own homes for as long as possible, as an alternative to institutional or residential care) and 5) published in the English language between 2000 and November 2016. Results Eleven studies reporting upon economic evaluations of service delivery interventions in community aged care were identified; the majority of which were undertaken in Europe. Critical appraisal of the identified studies highlighted the methodological rigour in these evaluations. Conclusion This systematic review highlights the paucity of economic evaluation studies conducted to date in the community aged care sector. The findings highlight the importance of cost utility analysis methodology as it allows for a uniform outcome measure, that facilitates the comparison of different interventions. In addition, multi-attribute utility measures that represent those quality of life domains that are most important to older people should be used and attention must be paid to the inclusion of informal care costs and outcomes as this is a key resource in community aged care service delivery. |
| first_indexed | 2024-12-13T14:09:26Z |
| format | Article |
| id | doaj.art-98caaca5360a41a991869da1f1b46297 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-13T14:09:26Z |
| publishDate | 2018-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-98caaca5360a41a991869da1f1b462972022-12-21T23:42:31ZengBMCBMC Health Services Research1472-69632018-12-0118111310.1186/s12913-018-3785-3Economic evaluations in community aged care: a systematic reviewNorma B. Bulamu0Billingsley Kaambwa1Julie Ratcliffe2Health Economics Unit, Flinders Health Care and Workforce Innovations, School of Medicine, Flinders UniversityHealth Economics Unit, Flinders Health Care and Workforce Innovations, School of Medicine, Flinders UniversityInstitute for Choice, University of South Australia Business SchoolAbstract Background This paper reports the methods and findings from a systematic review of economic evaluations conducted in the community aged care sector between 2000 and 2016. Methods Online databases searched were PubMed, Medline, Scopus, and web of science, CINAHL and informit. Studies were included if they 1) were full economic evaluations that compared both the costs and outcomes of two or more interventions 2) in study population of people aged 65 years and over 3) dependent older people living in the community 4) alternatives being compared were care models or service delivery interventions in the community aged care sector (a group of programs that have been established as a support system to allow older people to remain living in their own homes for as long as possible, as an alternative to institutional or residential care) and 5) published in the English language between 2000 and November 2016. Results Eleven studies reporting upon economic evaluations of service delivery interventions in community aged care were identified; the majority of which were undertaken in Europe. Critical appraisal of the identified studies highlighted the methodological rigour in these evaluations. Conclusion This systematic review highlights the paucity of economic evaluation studies conducted to date in the community aged care sector. The findings highlight the importance of cost utility analysis methodology as it allows for a uniform outcome measure, that facilitates the comparison of different interventions. In addition, multi-attribute utility measures that represent those quality of life domains that are most important to older people should be used and attention must be paid to the inclusion of informal care costs and outcomes as this is a key resource in community aged care service delivery.http://link.springer.com/article/10.1186/s12913-018-3785-3Economic evaluationCommunity aged careSystematic reviewAged |
| spellingShingle | Norma B. Bulamu Billingsley Kaambwa Julie Ratcliffe Economic evaluations in community aged care: a systematic review BMC Health Services Research Economic evaluation Community aged care Systematic review Aged |
| title | Economic evaluations in community aged care: a systematic review |
| title_full | Economic evaluations in community aged care: a systematic review |
| title_fullStr | Economic evaluations in community aged care: a systematic review |
| title_full_unstemmed | Economic evaluations in community aged care: a systematic review |
| title_short | Economic evaluations in community aged care: a systematic review |
| title_sort | economic evaluations in community aged care a systematic review |
| topic | Economic evaluation Community aged care Systematic review Aged |
| url | http://link.springer.com/article/10.1186/s12913-018-3785-3 |
| work_keys_str_mv | AT normabbulamu economicevaluationsincommunityagedcareasystematicreview AT billingsleykaambwa economicevaluationsincommunityagedcareasystematicreview AT julieratcliffe economicevaluationsincommunityagedcareasystematicreview |