Methodological Quality of Economic Evaluations in Integrated Care: Evidence from a Systematic Review.

Abstract:

Introduction:The aim of this review is to systematically assess the methodological quality of economic evaluations in integrated care and to identify challenges with conducting such studies. Theory and methods:Searches of grey-literature and scientific papers were performed, from January 2000 to December 2018. A checklist was developed to assess the quality of economic evaluations. Authors' statements of challenges encountered during their evaluations were qualitatively coded. Results:Forty-four articles were eligible for inclusion. The review found that study design, measurement of cost and outcomes, statistical analysis and presentation of data were the areas with most quality variation. Authors identified challenges mostly related to time horizon of the evaluation, inadequate or lack of comparator group, contamination bias, and a post-hoc evaluation culture. Discussion:Our review found significant differences in quality, with some studies showing poor methodological rigor; challenging conclusions on the cost-effectiveness of integrated care. Conclusion:It is essential for evaluators to use best-practice standards when planning and conducting economic evaluations, in order to build a reliable evidence base for decision-making in integrated care.

journal_name

Int J Integr Care

authors

Kadu M,Ehrenberg N,Stein V,Tsiachristas A

doi

10.5334/ijic.4675

subject

Has Abstract

pub_date

2019-09-09 00:00:00

pages

17

issue

3

issn

1568-4156

journal_volume

19

pub_type

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