A strategy for accurate collection of incremental cost data for cost-effectiveness analyses in field trials - Pawtucket's minimal contact cholesterol education intervention

被引:6
作者
Harrow, BS
Lasater, TM
Gans, KM
机构
[1] BROWN UNIV,MEM HOSP RHODE ISL,DIV HLTH EDUC,PAWTUCKET,RI 02860
[2] BROWN UNIV,SCH MED,DEPT COMMUNITY HLTH,PROVIDENCE,RI 02912
关键词
D O I
10.1177/0193841X9602000303
中图分类号
C [社会科学总论];
学科分类号
03 ; 0303 ;
摘要
With many community field trials or education interventions, the cost-effectiveness analyses are not given a high priority However this type of evaluation is important for purposes of future adoption of the intervention. The accurate measurement of costs can best be served by prospective collection of data. This article describes a methodology for collection of cost data that coincides with the intervention implementation. This cost analysis strategy has seven discrete steps. The Minimal Contact Education for Cholesterol Change study is used as an example of the use of this strategy. This intervention provides cholesterol education at six different levels of intensity at four different sectors. The intensity levels vary along a continuum from very little education input to a maximum level of intervention that might be practical in a screening setting The cost-effectiveness analysis component of the study will identify the incremental cost-effectiveness of each intervention along the continuum.
引用
收藏
页码:275 / 290
页数:16
相关论文
共 16 条
[1]   A FRAMEWORK FOR EVALUATING COMMUNITY-BASED HEART-DISEASE PREVENTION PROGRAMS [J].
ALTMAN, DG .
SOCIAL SCIENCE & MEDICINE, 1986, 22 (04) :479-487
[2]  
[Anonymous], 1993, EVALUATION SYSTEMATI
[3]   WEIGHT-LOSS COMPETITIONS AT THE WORK SITE - IMPACT ON WEIGHT, MORALE AND COST-EFFECTIVENESS [J].
BROWNELL, KD ;
COHEN, RY ;
STUNKARD, AJ ;
FELIX, MRJ ;
COOLEY, NB .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1984, 74 (11) :1283-1285
[4]   A CLINICIAN GUIDE TO COST-EFFECTIVENESS ANALYSIS [J].
DETSKY, AS ;
NAGLIE, IG .
ANNALS OF INTERNAL MEDICINE, 1990, 113 (02) :147-154
[5]  
GANS KM, 1993, J NUTR EDUC, V25, P29
[6]  
GANS KM, 1996, J NUTR EDUC, V28, P1
[7]   PRIORITY SETTING AND ECONOMIC APPRAISAL - WHOSE PRIORITIES - THE COMMUNITY OR THE ECONOMIST [J].
GREEN, A ;
BARKER, C .
SOCIAL SCIENCE & MEDICINE, 1988, 26 (09) :919-929
[8]   GUIDELINES FOR THE CLINICAL AND ECONOMIC-EVALUATION OF HEALTH-CARE TECHNOLOGIES [J].
GUYATT, G ;
DRUMMOND, M ;
FEENY, D ;
TUGWELL, P ;
STODDART, G ;
HAYNES, RB ;
BENNETT, K ;
LABELLE, R .
SOCIAL SCIENCE & MEDICINE, 1986, 22 (04) :393-408
[9]  
HALL J P, 1988, Medical Journal of Australia, V148, P273
[10]  
HURLEY S, 1990, MED J AUSTRALIA, V153, pS20