Protocol for an economic evaluation of a tele-neurologic intervention alongside a stepped wedge randomised controlled trial (NeTKoH)
Abstract Background A significant and growing portion of the global burden of diseases is caused by neurological disorders. Tele-neurology has the potential to improve access to health care services and the quality of care, particularly in rural and underserved areas. The economic evaluation of the...
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-023-09985-5 |
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| author | Ana S. Oliveira Gonçalves Imke Mayer Ricarda S. Schulz Agnes Flöel Felix von Podewils Anselm Angermaier Kerstin Wainwright Tobias Kurth the NeTKoH Consortium |
| author_facet | Ana S. Oliveira Gonçalves Imke Mayer Ricarda S. Schulz Agnes Flöel Felix von Podewils Anselm Angermaier Kerstin Wainwright Tobias Kurth the NeTKoH Consortium |
| author_sort | Ana S. Oliveira Gonçalves |
| collection | DOAJ |
| description | Abstract Background A significant and growing portion of the global burden of diseases is caused by neurological disorders. Tele-neurology has the potential to improve access to health care services and the quality of care, particularly in rural and underserved areas. The economic evaluation of the stepped wedge randomised controlled trial NeTKoH aims to ascertain the cost-effectiveness and cost-utility regarding the effects of a tele-neurologic intervention in primary care in a rural area in Germany. Methods This protocol outlines the methods used when conducting the trial-based economic evaluation of NeTKoH. The outcomes used in our economic analysis are all prespecified endpoints of the NeTKoH trial. Outcomes considered for the cost-utility and cost-effectiveness analyses will be quality-adjusted life years (QALYs) derived from the EQ-5D-5L, proportion of neurologic problems being solved at the GP’s office (primary outcome), hospital length-of-stay and number of hospital stays. Costs will be prospectively collected during the trial by the participating statutory health insurances, and will be analysed from a statutory health insurance perspective within the German health care system. This economic evaluation will be reported complying with the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) checklist. Discussion This within-trial economic evaluation relaying the costs and outcomes of an interdisciplinary tele-consulting intervention will provide high-quality evidence for cost-effectiveness and policy implications of a tele-neurological programme, including the potential for application in other rural areas in Germany or other jurisdictions with a comparable health system. Trial registration German Clinical Trials Register (DRKS00024492), date registered: September 28, 2021. |
| first_indexed | 2024-03-10T22:05:40Z |
| format | Article |
| id | doaj.art-aaa707daebe042a28be3296d8db7f047 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-03-10T22:05:40Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-aaa707daebe042a28be3296d8db7f0472023-11-19T12:48:24ZengBMCBMC Health Services Research1472-69632023-09-012311710.1186/s12913-023-09985-5Protocol for an economic evaluation of a tele-neurologic intervention alongside a stepped wedge randomised controlled trial (NeTKoH)Ana S. Oliveira Gonçalves0Imke Mayer1Ricarda S. Schulz2Agnes Flöel3Felix von Podewils4Anselm Angermaier5Kerstin Wainwright6Tobias Kurth7the NeTKoH ConsortiumInstitute of Public Health, Charité – Universitätsmedizin BerlinInstitute of Public Health, Charité – Universitätsmedizin BerlinInstitute of Public Health, Charité – Universitätsmedizin BerlinDepartment of Neurology, University Medicine GreifswaldDepartment of Neurology, University Medicine GreifswaldDepartment of Neurology, University Medicine GreifswaldInstitute of Public Health, Charité – Universitätsmedizin BerlinInstitute of Public Health, Charité – Universitätsmedizin BerlinAbstract Background A significant and growing portion of the global burden of diseases is caused by neurological disorders. Tele-neurology has the potential to improve access to health care services and the quality of care, particularly in rural and underserved areas. The economic evaluation of the stepped wedge randomised controlled trial NeTKoH aims to ascertain the cost-effectiveness and cost-utility regarding the effects of a tele-neurologic intervention in primary care in a rural area in Germany. Methods This protocol outlines the methods used when conducting the trial-based economic evaluation of NeTKoH. The outcomes used in our economic analysis are all prespecified endpoints of the NeTKoH trial. Outcomes considered for the cost-utility and cost-effectiveness analyses will be quality-adjusted life years (QALYs) derived from the EQ-5D-5L, proportion of neurologic problems being solved at the GP’s office (primary outcome), hospital length-of-stay and number of hospital stays. Costs will be prospectively collected during the trial by the participating statutory health insurances, and will be analysed from a statutory health insurance perspective within the German health care system. This economic evaluation will be reported complying with the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) checklist. Discussion This within-trial economic evaluation relaying the costs and outcomes of an interdisciplinary tele-consulting intervention will provide high-quality evidence for cost-effectiveness and policy implications of a tele-neurological programme, including the potential for application in other rural areas in Germany or other jurisdictions with a comparable health system. Trial registration German Clinical Trials Register (DRKS00024492), date registered: September 28, 2021.https://doi.org/10.1186/s12913-023-09985-5Tele-neurologyTelemedicinePrimary careGeneral practitionerHealth care managementCost-effectiveness |
| spellingShingle | Ana S. Oliveira Gonçalves Imke Mayer Ricarda S. Schulz Agnes Flöel Felix von Podewils Anselm Angermaier Kerstin Wainwright Tobias Kurth the NeTKoH Consortium Protocol for an economic evaluation of a tele-neurologic intervention alongside a stepped wedge randomised controlled trial (NeTKoH) BMC Health Services Research Tele-neurology Telemedicine Primary care General practitioner Health care management Cost-effectiveness |
| title | Protocol for an economic evaluation of a tele-neurologic intervention alongside a stepped wedge randomised controlled trial (NeTKoH) |
| title_full | Protocol for an economic evaluation of a tele-neurologic intervention alongside a stepped wedge randomised controlled trial (NeTKoH) |
| title_fullStr | Protocol for an economic evaluation of a tele-neurologic intervention alongside a stepped wedge randomised controlled trial (NeTKoH) |
| title_full_unstemmed | Protocol for an economic evaluation of a tele-neurologic intervention alongside a stepped wedge randomised controlled trial (NeTKoH) |
| title_short | Protocol for an economic evaluation of a tele-neurologic intervention alongside a stepped wedge randomised controlled trial (NeTKoH) |
| title_sort | protocol for an economic evaluation of a tele neurologic intervention alongside a stepped wedge randomised controlled trial netkoh |
| topic | Tele-neurology Telemedicine Primary care General practitioner Health care management Cost-effectiveness |
| url | https://doi.org/10.1186/s12913-023-09985-5 |
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