Cost Effectiveness Analysis for Nursing Research

Bensink, Mark; Eaton, Linda H.; Morrison, Megan; Cook, Wendy A.; Curtis, J. Randall; Gordon, Deborah B.; Kundu, Anup Kumar; Doorenbos, Ardith Z.

doi:10.1097/nnr.0b013e318298b0be

Cited by 14 publications

(18 citation statements)

References 32 publications

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“…Several authors (Grosse, Teutsch, & Haddix, 2007; Guest, 2013; McFarland, 2014) have provided useful and accessible introductions to economic evaluation. For example, a recent publication (Bensink et al, 2013) can help nurse researchers apply the methodology of economic evaluation—specifically, cost-effectiveness analysis, alongside a randomized controlled trial.…”

Section: Discussionmentioning

confidence: 99%

Quantity and Quality of Economic Evaluations in U.S. Nursing Research, 1997–2015

et al. 2017

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Background The United States has a complex healthcare system that is undergoing substantial reformations. There is a need for high-quality, economic evaluations of nursing practice. An updated review of completed economic evaluations relevant to the field of nursing within the U.S. healthcare system is timely and needed. Objectives The purpose of this study was to evaluate and describe the quantity and quality of economic evaluations in nursing-relevant research performed in the U.S. between 1997 and 2015. Methods Four databases were searched. Titles, abstracts, and full-text content were reviewed to identify studies that analyzed both costs and outcomes, relevant to nursing, performed in the U.S., and used the quality-adjusted life year (QALY) to measure effectiveness. For included studies, data were extracted from full-text articles using criteria from U.S. Public Health Service’s Panel on Cost-Effectiveness in Health and Medicine. Results Twenty-eight studies met the inclusion criteria. Most (n = 25, 89%) were published in the last decade of the analysis, from 2006 to 2015. Assessment of quality, based on selected items from the panel guidelines, found that the evaluations did not consistently use the recommended societal perspective, use multiple resource utilization categories, use constant dollars, discount future costs and outcomes, use a lifetime horizon, or include an indication of uncertainty in results. The only resource utilization category consistently included across studies was healthcare resources. Discussion Only 28 nursing-related studies meeting the inclusion criteria were identified as meeting robust health economic evaluation methodological criteria, and most did not include all important guideline items. Despite increases in absolute numbers of published studies over the past decade, economic evaluation has been underutilized in U.S. nursing-relevant research in the past two decades.

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Section: Discussionmentioning

confidence: 99%

Quantity and Quality of Economic Evaluations in U.S. Nursing Research, 1997–2015

et al. 2017

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“…With specific data on time to perform nursing interventions, the cost of nursing interventions can be measured and nursing's contribution to patient care can be recognized. In addition, identifying the time needed to perform an intervention can be used as an alternative to using a patient classification system for this purpose (Bensink et al, 2013;Lee et al, 2013). A total of 92 nursing interventions were analyzed in this study.…”

Section: Discussionmentioning

confidence: 99%

Estimated Time to Complete Direct Nursing Interventions Using the Nursing Interventions Classification (NIC) at Eight Hospitals in South Korea

Lee

Park

2016

Int J of Nursing Knowl

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“…The symptom reporting system also includes the Opioid Risk Tool (ORT) 41 which is completed at baseline and available during video case conferences to help providers assess risk of aberrant drug-related behavior where additional monitoring is indicated. Additionally, the patient completes the HUI-3 42–45 ; Health Resource Utilization Survey 46 ; Work Productivity and Activity Impairment Questionnaire 47 Caregiving Time 48 ; and numeric scales for fatigue, shortness of breath, and constipation. All of these outcome measures have established reliability and validity.…”

Section: Study Measuresmentioning

confidence: 99%

“…48 Analyses for the economic evaluation will be supplemented with a secondary analysis based on received treatment (i.e., patients in the intervention group who did not receive the intervention as planned will be placed in the standard care group).…”

Section: Analysis Planmentioning

confidence: 99%

Development and implementation of a telehealth-enhanced intervention for pain and symptom management

Eaton

Gordon

Wyant

et al. 2014

Contemporary Clinical Trials

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Managing chronic pain effectively is often challenging for health care providers and patients. Telehealth technologies can bridge geographic distance and improve patients' quality of care in communities where access to pain specialists has previously been unavailable. This paper describes the development and evaluation of a telehealth intervention (TelePain) designed to address the need for pain specialist consultation regarding pain and symptom management issues in non-academic medical centers. We describe the theoretical foundation and development of a multifaceted intervention using a cluster randomized clinical trial design. Health care providers and their patients with chronic pain are enrolled in the study. Patient participants receive the intervention (report of symptoms and receipt of a pain graph) weekly for 8 weeks and are contacted at 12 weeks for completion of post-intervention follow-up measures. Their providers attend Telepain sessions which involve a didactic presentation on an evidence-based topic related to pain management followed by patient case presentations and discussion by community clinicians. Symptom management recommendations for each patient case are made by a panel of pain specialists representing internal medicine, addiction medicine, rehabilitation medicine, anesthesiology, psychiatry, and nursing. The outcomes assessed in this randomized trial focus on pain intensity, pain's interference on function and sleep, and anxiety, depression, and cost-effectiveness. Some of the challenges and lessons that we have learned early in implementing the TelePain intervention are also reported.

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Cost Effectiveness Analysis for Nursing Research

Cited by 14 publications

References 32 publications

Quantity and Quality of Economic Evaluations in U.S. Nursing Research, 1997–2015

Quantity and Quality of Economic Evaluations in U.S. Nursing Research, 1997–2015

Estimated Time to Complete Direct Nursing Interventions Using the Nursing Interventions Classification (NIC) at Eight Hospitals in South Korea

Development and implementation of a telehealth-enhanced intervention for pain and symptom management

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