4.4 Review

Systematic overview of economic evaluations of health-related rehabilitation

期刊

DISABILITY AND HEALTH JOURNAL
卷 9, 期 1, 页码 11-25

出版社

ELSEVIER SCIENCE INC
DOI: 10.1016/j.dhjo.2015.08.009

关键词

Health-related rehabilitation; Economic evaluation; Cost-effectiveness; Systematic review

资金

  1. World Health Organization [200843207]

向作者/读者索取更多资源

Background: Health related rehabilitation is instrumental in improving functioning and promoting participation by people with disabilities. To make clinical and policy decisions about health-related rehabilitation, resource allocation and cost issues need to be considered. Objectives: To provide an overview of systematic reviews (SRs) on economic evaluations of health-related rehabilitation. Methods: We searched multiple databases to identify relevant SRs of economic evaluations of health-related rehabilitation. Review quality was assessed by AMSTAR checklist. Results: We included 64 SRs, most of which included economic evaluations alongside randomized controlled trials (RCTs). The review quality was low to moderate (AMSTAR score 5-8) in 35, and high (score 9-11) in 29 of the included SRs. The included SRs addressed various health conditions, including spinal or other pain conditions (n = 14), age-related problems (11), stroke (7), musculoskeletal disorders (6), heart diseases (4), pulmonary (3), mental health problems (3), and injury (3). Physiotherapy was the most commonly evaluated rehabilitation intervention in the included SRs (n 5 24). Other commonly evaluated interventions included multidisciplinary programmes (14); behavioral, educational or psychological interventions (11); home-based interventions (11); complementary therapy (6); self-management (6); and occupational therapy (4). Conclusions: Although the available evidence is often described as limited, inconsistent or inconclusive, some rehabilitation interventions were cost-effective or showed cost-saving in a variety of disability conditions. Available evidence comes predominantly from high income countries, therefore economic evaluations of health-related rehabilitation are urgently required in less resourced settings. (C) 2016 The Authors. Published by Elsevier Inc.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.4
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Health Care Sciences & Services

A multidomain decision support tool to prevent falls in older people: the FinCH cluster RCT

Philippa A. Logan, Jane C. Horne, Frances Allen, Sarah J. Armstrong, Allan B. Clark, Simon Conroy, Janet Darby, Chris Fox, John R. F. Gladman, Maureen Godfrey, Adam L. Gordon, Lisa Irvine, Paul Leighton, Karen McCartney, Gail Mountain, Kate Robertson, Katie Robinson, Tracey H. Sach, Susan Stirling, Edward C. F. Wilson, Erika J. Sims

Summary: This study evaluated the clinical effectiveness and cost-effectiveness of the Guide to Action for falls prevention in Care Homes (GtACH) program. The results showed that the GtACH program significantly reduced the falls rate in the study care homes and was cost-effective at current thresholds in the NHS.

HEALTH TECHNOLOGY ASSESSMENT (2022)

Review Nutrition & Dietetics

Evidence to Underpin Vitamin A Requirements and Upper Limits in Children Aged 0 to 48 Months: A Scoping Review

Lee Hooper, Chizoba Esio-Bassey, Julii Brainard, Judith Fynn, Amy Jennings, Natalia Jones, Bhavesh V. Tailor, Asmaa Abdelhamid, Calvin Coe, Latife Esgunoglu, Ciara Fallon, Ernestina Gyamfi, Claire Hill, Stephanie Howard Wilsher, Nithin Narayanan, Titilopemi Oladosu, Ellice Parkinson, Emma Prentice, Meysoon Qurashi, Luke Read, Harriet Getley, Fujian Song, Ailsa A. Welch, Peter Aggett, Georg Lietz

Summary: This scoping review aims to update the nutrient requirements and upper limits for vitamin A in infants and children, and assess the effectiveness of different approaches in increasing vitamin A depots. The review found that the effects of supplementation have been evaluated, and some studies have also examined the effects of staple food fortification, complementary foods, biofortified maize or cassava, and fortified drinks on health outcomes. Adverse events associated with higher vitamin A intakes have been identified, which can be useful for setting upper limits.

NUTRIENTS (2022)

Review Geriatrics & Gerontology

The uptake and use of a minimum data set (MDS) for older people living and dying in care homes: a realist review

Massirfufulay Kpehe Musa, Gizdem Akdur, Sarah Brand, Anne Killett, Karen Spilsbury, Guy Peryer, Jennifer Kirsty Burton, Adam Lee Gordon, Barbara Hanratty, Ann-Marie Towers, Lisa Irvine, Sarah Kelly, Liz Jones, Julienne Meyer, Claire Goodman

Summary: This study explores how care home staff can effectively use minimum data sets (MDS) to plan and deliver care for residents. Key factors include motivation, frontline staff monitoring, and embedded recording systems.

BMC GERIATRICS (2022)

Article Geriatrics & Gerontology

Contextual factors influencing complex intervention research processes in care homes: a systematic review and framework synthesis

Guy Peryer, Sarah Kelly, Jessica Blake, Jennifer K. Burton, Lisa Irvine, Andy Cowan, Gizdem Akdur, Anne Killett, Sarah L. Brand, Massirfufulay Kpehe Musa, Julienne Meyer, Adam L. Gordon, Claire Goodman

Summary: This study conducted a systematic review and thematic analysis to identify and categorize contextual factors that may affect the outcomes of complex intervention studies in care homes. The findings suggest that barriers to implementation are more common at the task and organizational levels. The study provides recommendations for research teams, care home teams, and collaborations to improve the implementation of research in care home settings.

AGE AND AGEING (2022)

Article Nutrition & Dietetics

Food Sales and Adult Weight Status: Results of a Cross-Sectional Study in England

Stephanie Howard Wilsher, Flo Harrison, Andrew Fearne, Andy Jones

Summary: This study used supermarket sales data to explore the relationship between area-level supermarket use and overweight and obesity in English adults. The findings showed a modest association between higher levels of unhealthy food sales and increased odds of being overweight and obese.

NUTRIENTS (2022)

Review Environmental Sciences

The Effects and Costs of Personalized Budgets for People with Disabilities: A Systematic Review

Marguerite Robinson, Marie Blaise, Germain Weber, Marc Suhrcke

Summary: This article reviews the literature on the impacts of personalized budgets for people with disabilities, focusing on benefit and cost outcomes. The findings suggest that overall, personalized budget users tend to benefit in terms of well-being and service satisfaction outcomes. However, there are mixed effects for people with mental health conditions. In terms of cost-effectiveness, some studies find that personalized budgets are more cost-effective than alternative options. Further research is needed to explore the generalizability of these conclusions and understand the factors driving the observed heterogeneity in the results.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2022)

Review Geriatrics & Gerontology

Outcome measures from international older adult care home intervention research: a scoping review

Sarah Kelly, Andy Cowan, Gizdem Akdur, Lisa Irvine, Guy Peryer, Silje Welsh, Stacey Rand, Iain A. Lang, Ann-Marie Towers, Karen Spilsbury, Anne Killett, Adam Lee Gordon, Barbara Hanratty, Liz Jones, Julienne Meyer, Claire Goodman, Jennifer Kirsty Burton

Summary: This scoping review examined international care home research published between 2015 and August 2022. The findings revealed considerable heterogeneity in the choice and assessment of outcomes for intervention research in care homes. There is a pressing need to develop a consensus on useful and sensitive outcome measures for care homes, involving residents, families, friends, and staff.

AGE AND AGEING (2023)

Review Nutrition & Dietetics

Low-intake dehydration prevalence in non-hospitalised older adults: Systematic review and meta-analysis

Ellice Parkinson, Lee Hooper, Judith Fynn, Stephanie Howard Wilsher, Titilopemi Oladosu, Fiona Poland, Simone Roberts, Elien Van Hout, Diane Bunn

Summary: A high-quality systematic review and meta-analysis showed that 24% of non-hospitalised older people suffer from low-intake dehydration. Both long-term care residents and community-dwelling older adults are more likely to be dehydrated. Those with more pre-existing illnesses and renal impairment are at higher risk. This study highlights the prevalence and risk factors of dehydration in older adults, emphasizing the importance of prevention.

CLINICAL NUTRITION (2023)

Article Medicine, General & Internal

Piloting of a minimum data set for older people living in care homes in England: protocol for a longitudinal, mixed-methods study

Ann-Marie Towers, Adam Gordon, Arne Timon Wolters, Stephen Allan, Stacey Rand, Lucy Anne Webster, Elizabeth Crellin, Richard James Brine, Kaat De Corte, Gizdem Akdur, Lisa Irvine, Jennifer Burton, Barbara Hanratty, Anne Killett, Julienne Meyer, Liz Jones, Claire Goodman

Summary: This study aims to develop a minimum data set (MDS) to collect health and care data of care home residents in England, and link them with routine national health service and social care data. The study will explore the implementation and perceived utility of the MDS through qualitative and quantitative methods, and regular data collection and analysis.

BMJ OPEN (2023)

Article Nursing

Patient care, integration and collaboration of physician associates in multiprofessional teams: A mixed methods study

Stephanie Howard Wilsher, Audrey Gibbs, Joanne Reed, Rebecca Baker, Susanne Lindqvist

Summary: The aim of this study was to explore the role of physician associates in patient care and team collaboration within the hospital setting. The findings showed that physician associates play an effective and safe role in providing care, but their integration into teams varied. There was a lack of knowledge about the physician associate role among staff and patients.

NURSING OPEN (2023)

Article Gerontology

The Dynamic Nature of Being a Person: An Ethnographic Study of People Living With Dementia in Their Communities

Linda Birt, Georgina Charlesworth, Esme Moniz-Cook, Phuong Leung, Paul Higgs, Martin Orrell, Fiona Poland

Summary: This study examines how people living with dementia maintain social interactions in their local communities through observations in community spaces. The findings indicate that individuals with dementia construct narratives and use strategies to assert their presence in social settings, drawing on personal attributes and familiar rituals.

GERONTOLOGIST (2023)

Article Substance Abuse

Trends in Socio-economic Inequality in Smoking Among Middle-aged and Older Adults in China: Evidence From the 2011 and 2018 China Health and Retirement Longitudinal Study

Tai-Yi Liu, De-Chao Qiu, Fujian Song, Ting Chen

Summary: This study examines the impact of socio-economic status on smoking rates in different age groups and regions in China and finds that smoking inequality among adults aged 45 and above has decreased in recent years, but increased in other population groups. Particularly in the Northeast region, women experience more significant smoking inequality compared to women in other regions.

NICOTINE & TOBACCO RESEARCH (2023)

Article Geriatrics & Gerontology

Developing a minimum data set for older adult care homes in the UK: exploring the concept and defining early core principles

Jennifer Kirsty Burton, Arne Timon Wolters, Ann-Marie Towers, Liz Jones, Julienne Meyer, Adam Lee Gordon, Lisa Irvine, Barbara Hanratty, Karen Spilsbury, Guy Peryer, Stacey Rand, Anne Killett, Gizdem Akdur, Stephen Allan, Priti Biswas, Claire Goodman

Summary: This article discusses the importance of data in innovations and solutions during social care reforms in response to the COVID-19 pandemic and proposes evidence-based principles to develop a Minimum Data Set (MDS) for care homes. Collaboration with care home staff and stakeholders is needed to define and agree on the specific content and operationalization of the MDS.

LANCET HEALTHY LONGEVITY (2022)

暂无数据