Assessing the Relative Importance of Key Quality of Life Dimensions for People With and Without a Disability: an Empirical Ranking Comparison Study.

Crocker, Matthew; Hutchinson, Claire; Mpundu-Kaambwa, Christine; Walker, Ruth; Chen, Gang; Ratcliffe, Julie

doi:10.21203/rs.3.rs-691502/v1

Cited by 1 publication

(1 citation statement)

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“…For decision makers, it is difficult to decide if they should prioritise an intervention that costs $40,000 per QALY or the one that costs $3,000 per additional day of working. Although cost-utility analysis have gained more popularity in recent years, the widely used health utility instruments primarily focus on physical health and thus are likely to omit the broad benefits that go beyond health [42]. For example, transitioning from institutional to community living may improve not only mental health, but also overall well-being through a greater sense of independence and control over one's life.…”

Section: Plos Onementioning

confidence: 99%

Social interventions to support people with disability: A systematic review of economic evaluation studies

et al. 2023

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Social interventions are essential in supporting the health and well-being of people with disability, but there is a critical need to prioritise resources for those that provide the best value for money. Economic evaluation is a widely used tool to assist priority setting when resources are scarce. However, the scope and consistency of economic evaluation evidence for disability social services are unclear, making it hard to compare across interventions to guide funding decisions. This systematic review aims to summarise the current evidence in the economic evaluation of social services for people with disability and to critically compare the methodologies used in conducting the economic evaluations with a focus on the outcomes and costs. We searched seven databases for relevant studies published from January 2005 to October 2021. Data were extracted on study characteristics such as costs, outcomes, perspectives, time horizons and intervention types. Overall, economic evaluation evidence of social services for people with disability was scarce. Twenty-four economic evaluations were included, with the majority conducting a cost-effectiveness analysis (n = 16). Most interventions focused on employment (n = 10), followed by community support and independent living (n = 6). Around 40% of the studies addressed people with mental illnesses (n = 10). The evidence was mixed on whether the interventions were cost-effective but the methods used were highly variable, which made comparisons across studies very difficult. More economic evidence on the value of interventions is needed as well as a more standardised and transparent approach for future research.

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Section: Plos Onementioning

confidence: 99%