Overview of methods in economic analyses of behavioral interventions to promote oral health
Identifieur interne : 002576 ( Pmc/Corpus ); précédent : 002575; suivant : 002577Overview of methods in economic analyses of behavioral interventions to promote oral health
Auteurs : Joan M. O Onnell ; Susan GriffinSource :
- Journal of public health dentistry [ 0022-4006 ] ; 2011.
Abstract
Broad adoption of interventions that prove effective in randomized clinical trials or comparative effectiveness research may depend to a great extent on their costs and cost-effectiveness (CE). Many studies of behavioral health interventions for oral health promotion and disease prevention lack robust economic assessments of costs and CE.
To describe methodologies employed to assess intervention costs, potential savings, net costs, CE, and the financial sustainability of behavioral health interventions to promote oral health.
We provide an overview of terminology and strategies for conducting economic evaluations of behavioral interventions to improve oral health based on the recommendations of the Panel of Cost-Effectiveness in Health and Medicine. To illustrate these approaches, we summarize methodologies and findings from a limited number of published studies. The strategies include methods for assessing intervention costs, potential savings, net costs, CE, and financial sustainability from various perspectives (e.g., health-care provider, health system, health payer, employer, society). Statistical methods for estimating short-term and long-term economic outcomes and for examining the sensitivity of economic outcomes to cost parameters are described.
Through the use of established protocols for evaluating costs and savings, it is possible to assess and compare intervention costs, net costs, CE, and financial sustainability. The addition of economic outcomes to outcomes reflecting effectiveness, appropriateness, acceptability, and organizational sustainability strengthens evaluations of oral health interventions and increases the potential that those found to be successful in research settings will be disseminated more broadly.
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PubMed: 21656966
PubMed Central: 4813801
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PMC:4813801Le document en format XML
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<author><name sortKey="O Onnell, Joan M" sort="O Onnell, Joan M" uniqKey="O Onnell J" first="Joan M." last="O Onnell">Joan M. O Onnell</name>
<affiliation><nlm:aff id="A1">Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Denver, Aurora, CO</nlm:aff>
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<author><name sortKey="Griffin, Susan" sort="Griffin, Susan" uniqKey="Griffin S" first="Susan" last="Griffin">Susan Griffin</name>
<affiliation><nlm:aff id="A2">Division of Oral Health, National Center for Chronic Disease Prevention and Promotion, Centers for Disease Control and Prevention, Atlanta, GA</nlm:aff>
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<author><name sortKey="Griffin, Susan" sort="Griffin, Susan" uniqKey="Griffin S" first="Susan" last="Griffin">Susan Griffin</name>
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<series><title level="j">Journal of public health dentistry</title>
<idno type="ISSN">0022-4006</idno>
<idno type="eISSN">1752-7325</idno>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title>
<p id="P1">Broad adoption of interventions that prove effective in randomized clinical trials or comparative effectiveness research may depend to a great extent on their costs and cost-effectiveness (CE). Many studies of behavioral health interventions for oral health promotion and disease prevention lack robust economic assessments of costs and CE.</p>
</sec>
<sec id="S2"><title>Objective</title>
<p id="P2">To describe methodologies employed to assess intervention costs, potential savings, net costs, CE, and the financial sustainability of behavioral health interventions to promote oral health.</p>
</sec>
<sec id="S3"><title>Methods</title>
<p id="P3">We provide an overview of terminology and strategies for conducting economic evaluations of behavioral interventions to improve oral health based on the recommendations of the Panel of Cost-Effectiveness in Health and Medicine. To illustrate these approaches, we summarize methodologies and findings from a limited number of published studies. The strategies include methods for assessing intervention costs, potential savings, net costs, CE, and financial sustainability from various perspectives (e.g., health-care provider, health system, health payer, employer, society). Statistical methods for estimating short-term and long-term economic outcomes and for examining the sensitivity of economic outcomes to cost parameters are described.</p>
</sec>
<sec id="S4"><title>Discussion</title>
<p id="P4">Through the use of established protocols for evaluating costs and savings, it is possible to assess and compare intervention costs, net costs, CE, and financial sustainability. The addition of economic outcomes to outcomes reflecting effectiveness, appropriateness, acceptability, and organizational sustainability strengthens evaluations of oral health interventions and increases the potential that those found to be successful in research settings will be disseminated more broadly.</p>
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<front><journal-meta><journal-id journal-id-type="nlm-journal-id">0014207</journal-id>
<journal-id journal-id-type="pubmed-jr-id">5220</journal-id>
<journal-id journal-id-type="nlm-ta">J Public Health Dent</journal-id>
<journal-id journal-id-type="iso-abbrev">J Public Health Dent</journal-id>
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<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Overview of methods in economic analyses of behavioral interventions to promote oral health</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>O’Connell</surname>
<given-names>Joan M.</given-names>
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<degrees>PhD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
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<contrib contrib-type="author"><name><surname>Griffin</surname>
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<degrees>PhD</degrees>
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<aff id="A1"><label>1</label>
Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Denver, Aurora, CO</aff>
<aff id="A2"><label>2</label>
Division of Oral Health, National Center for Chronic Disease Prevention and Promotion, Centers for Disease Control and Prevention, Atlanta, GA</aff>
<author-notes><corresp id="cor1"><bold>Correspondence</bold>
Dr. Joan M. O’Connell, Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Denver, Aurora, CO 80045. Tel.: 303-724-1459; Fax: 303-724-1461; <email>joan.oconnell@ucdenver.edu</email>
. Joan M. O’Connell is with the, Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Denver. Susan Griffin is with the Division of Oral Health, National Center for Chronic Disease Prevention and Promotion, Centers for Disease Control and Prevention</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>12</day>
<month>3</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="ppub"><season>Winter</season>
<year>2011</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>30</day>
<month>3</month>
<year>2016</year>
</pub-date>
<volume>71</volume>
<issue>Suppl 1</issue>
<fpage>S101</fpage>
<lpage>S118</lpage>
<abstract><sec id="S1"><title>Background</title>
<p id="P1">Broad adoption of interventions that prove effective in randomized clinical trials or comparative effectiveness research may depend to a great extent on their costs and cost-effectiveness (CE). Many studies of behavioral health interventions for oral health promotion and disease prevention lack robust economic assessments of costs and CE.</p>
</sec>
<sec id="S2"><title>Objective</title>
<p id="P2">To describe methodologies employed to assess intervention costs, potential savings, net costs, CE, and the financial sustainability of behavioral health interventions to promote oral health.</p>
</sec>
<sec id="S3"><title>Methods</title>
<p id="P3">We provide an overview of terminology and strategies for conducting economic evaluations of behavioral interventions to improve oral health based on the recommendations of the Panel of Cost-Effectiveness in Health and Medicine. To illustrate these approaches, we summarize methodologies and findings from a limited number of published studies. The strategies include methods for assessing intervention costs, potential savings, net costs, CE, and financial sustainability from various perspectives (e.g., health-care provider, health system, health payer, employer, society). Statistical methods for estimating short-term and long-term economic outcomes and for examining the sensitivity of economic outcomes to cost parameters are described.</p>
</sec>
<sec id="S4"><title>Discussion</title>
<p id="P4">Through the use of established protocols for evaluating costs and savings, it is possible to assess and compare intervention costs, net costs, CE, and financial sustainability. The addition of economic outcomes to outcomes reflecting effectiveness, appropriateness, acceptability, and organizational sustainability strengthens evaluations of oral health interventions and increases the potential that those found to be successful in research settings will be disseminated more broadly.</p>
</sec>
</abstract>
<kwd-group><kwd>oral health</kwd>
<kwd>behavioral interventions</kwd>
<kwd>costs</kwd>
<kwd>cost-effectiveness</kwd>
<kwd>financial sustainability</kwd>
</kwd-group>
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