Evaluación económica busca umbral para apoyar la toma de decisiones

García-Lorenzo, Borja; Vallejo-Torres, Laura; Trujillo‐Martín, María M.; Perestelo‐Pérez, Lilisbeth; Valcárcel-Nazco, Cristina; Aguilar, Pedro Serrano

doi:10.4321/s1135-57272015000600002

Cited by 12 publications

(6 citation statements)

References 21 publications

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“…Providing education for nurses to become SOC nurses implies a cost per QALY (Quality Adjusted Life Years) significantly below €30,000, the threshold normally considered in Spain [46]. In contrast, not having SOC nurses results in a much greater cost per QALY.…”

Section: Resultsmentioning

confidence: 99%

Specializing Nurses as An Indirect Education Program for Stoma Patients

García-Goñi

2019

IJERPH

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Education programs are beneficial for patients with different chronic conditions. Prior studies have examined direct education, where information is transferred directly to patients. In contrast, in this program, information is transferred directly to nurses who become specialists and transfer education individually to patients. Hence, this paper evaluates the impact of having specialist nurses for stoma patients at hospitals, as those nurses provide healthcare to patients but also inform and educate patients about their condition and needs. The analysis uses an observational study with ostomized patients in Spain at hospitals with and without specialist nurses, and measures health service utilization and health-related quality of life (HRQL), besides performing a cost analysis and a cost-effectiveness analysis at both types of hospitals. The results show that patients with access to specialist nurses self-manage better, present lower adverse events and a better evolution of HRQL, and significantly demand more consultations with specialist nurses and less to A&E, primary care or specialists, resulting in important savings for the health system. Consequently, specializing or hiring nurses to provide indirect education to stoma patients is cost-effective and highly beneficial for patients. This type of indirect education strategy might be considered for specific conditions with low incidence or difficulties in identifying target patients or delivering information directly to them.

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Section: Resultsmentioning

confidence: 99%

Specializing Nurses as An Indirect Education Program for Stoma Patients

García-Goñi

2019

IJERPH

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“…El presente trabajo es el primero que examina la relación entre la fuente de financiación de los análisis coste-efectividad de intervenciones sanitarias publicados en España y sus conclusiones. Estudios recientes han evaluado otros aspectos relevantes de los análisis coste-efectividad publicados en España, como son el establecimiento de prioridades 6 , las redes de colaboración científica 7 , la calidad metodológica 19 , la comunicación de conflictos de intereses 20 y la definición de umbrales de disposición a pagar21, 22. En general, los resultados de este trabajo concuerdan con los de otros estudios internacionales que han identificado que la mayoría de análisis coste-efectividad suelen presentar razones coste-efectividad favorables12, 15, 16, 17, 18, y que los estudios financiados por la industria privada son más propensos a presentar valores por debajo de umbrales hipotéticos de disposición a pagar.…”

Section: Discussionunclassified

Potencial sesgo de patrocinio en los análisis coste-efectividad de intervenciones sanitarias: un análisis transversal

Catalá-López

Ridao

2017

Atención Primaria

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“…However, existing research (e.g. in Spain [ 91 ]) has sought to answer some of the questions that we have specified in Box 2, and such research could form the basis of assessment processes. …”

Section: How Should Policymakers Use Imperfect Evidence?mentioning

confidence: 99%

Supply-Side Cost-Effectiveness Thresholds: Questions for Evidence-Based Policy

Sampson

Zamora

Watson

et al. 2022

Appl Health Econ Health Policy

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There is growing interest in cost-effectiveness thresholds as a tool to inform resource allocation decisions in health care. Studies from several countries have sought to estimate health system opportunity costs, which supply-side cost-effectiveness thresholds are intended to represent. In this paper, we consider the role of empirical estimates of supply-side thresholds in policy-making. Recent studies estimate the cost per unit of health based on average displacement or outcome elasticity. We distinguish the types of point estimates reported in empirical work, including marginal productivity, average displacement, and outcome elasticity. Using this classification, we summarise the limitations of current approaches to threshold estimation in terms of theory, methods, and data. We highlight the questions that arise from alternative interpretations of thresholds and provide recommendations to policymakers seeking to use a supply-side threshold where the evidence base is emerging or incomplete. We recommend that: (1) policymakers must clearly define the scope of the application of a threshold, and the theoretical basis for empirical estimates should be consistent with that scope; (2) a process for the assessment of new evidence and for determining changes in the threshold to be applied in policy-making should be created; (3) decision-making processes should retain flexibility in the application of a threshold; and (4) policymakers should provide support for decision-makers relating to the use of thresholds and the implementation of decisions stemming from their application.

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Evaluación económica busca umbral para apoyar la toma de decisiones

Cited by 12 publications

References 21 publications

Specializing Nurses as An Indirect Education Program for Stoma Patients

Specializing Nurses as An Indirect Education Program for Stoma Patients

Potencial sesgo de patrocinio en los análisis coste-efectividad de intervenciones sanitarias: un análisis transversal

Supply-Side Cost-Effectiveness Thresholds: Questions for Evidence-Based Policy

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