Taking a local government perspective for economic evaluation of a population-level programme to promote exercise
<strong>Background.</strong> In order to tackle the issue of physical inactivity, local governments have implemented population-level programmes to promote exercise. While evidence is accumulating on the cost-effectiveness of these interventions, studies have typically adopted a health s...
| Main Authors: | , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
Elsevier
2021
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| _version_ | 1797093949338288128 |
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| author | Candio, FP Meads, D Hill, AJ Bojke, L |
| author_facet | Candio, FP Meads, D Hill, AJ Bojke, L |
| author_sort | Candio, FP |
| collection | OXFORD |
| description | <strong>Background.</strong>
In order to tackle the issue of physical inactivity, local governments have implemented population-level programmes to promote exercise. While evidence is accumulating on the cost-effectiveness of these interventions, studies have typically adopted a health sector perspective for economic evaluation. This approach has been challenged as it does not allow for key concerns by local governments, which are primary stakeholders, to be addressed.
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<strong>Objectives.</strong>
To show how taking a local government perspective for economic evaluation can be implemented in practice and this may affect the economic conclusions.
<br>
<strong>Methods.</strong>
Based on data from a case study, the health equity impact of the intervention and its opportunity cost from a service provider viewpoint were assessed. The cost-effectiveness implications of a change in perspective were subsequently estimated by means of scenario analysis.
<br>
<strong>Findings.</strong>
The intervention was found to provide adult residents living in the most deprived city areas with greater health benefits compared with the rest of the population. However, a negative net equity impact was found in the short-term. The opportunity cost of the intervention was estimated to be substantially lower than its financial cost (£2.77 per person/year), with significant implications for decision-making.
<br>
<strong>Conclusions.</strong>
Taking a local government perspective can affect the conclusions drawn from the economic evaluation of population-level programmes to promote exercise, and therefore influence decision making. |
| first_indexed | 2024-03-07T04:07:22Z |
| format | Journal article |
| id | oxford-uuid:c6a3fac8-954d-49b6-b730-dc99f84fc98f |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T04:07:22Z |
| publishDate | 2021 |
| publisher | Elsevier |
| record_format | dspace |
| spelling | oxford-uuid:c6a3fac8-954d-49b6-b730-dc99f84fc98f2022-03-27T06:39:32ZTaking a local government perspective for economic evaluation of a population-level programme to promote exerciseJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:c6a3fac8-954d-49b6-b730-dc99f84fc98fEnglishSymplectic ElementsElsevier2021Candio, FPMeads, DHill, AJBojke, L<strong>Background.</strong> In order to tackle the issue of physical inactivity, local governments have implemented population-level programmes to promote exercise. While evidence is accumulating on the cost-effectiveness of these interventions, studies have typically adopted a health sector perspective for economic evaluation. This approach has been challenged as it does not allow for key concerns by local governments, which are primary stakeholders, to be addressed. <br> <strong>Objectives.</strong> To show how taking a local government perspective for economic evaluation can be implemented in practice and this may affect the economic conclusions. <br> <strong>Methods.</strong> Based on data from a case study, the health equity impact of the intervention and its opportunity cost from a service provider viewpoint were assessed. The cost-effectiveness implications of a change in perspective were subsequently estimated by means of scenario analysis. <br> <strong>Findings.</strong> The intervention was found to provide adult residents living in the most deprived city areas with greater health benefits compared with the rest of the population. However, a negative net equity impact was found in the short-term. The opportunity cost of the intervention was estimated to be substantially lower than its financial cost (£2.77 per person/year), with significant implications for decision-making. <br> <strong>Conclusions.</strong> Taking a local government perspective can affect the conclusions drawn from the economic evaluation of population-level programmes to promote exercise, and therefore influence decision making. |
| spellingShingle | Candio, FP Meads, D Hill, AJ Bojke, L Taking a local government perspective for economic evaluation of a population-level programme to promote exercise |
| title | Taking a local government perspective for economic evaluation of a population-level programme to promote exercise |
| title_full | Taking a local government perspective for economic evaluation of a population-level programme to promote exercise |
| title_fullStr | Taking a local government perspective for economic evaluation of a population-level programme to promote exercise |
| title_full_unstemmed | Taking a local government perspective for economic evaluation of a population-level programme to promote exercise |
| title_short | Taking a local government perspective for economic evaluation of a population-level programme to promote exercise |
| title_sort | taking a local government perspective for economic evaluation of a population level programme to promote exercise |
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