Critical appraisal of published economic evaluations of home care for the elderly

Critical appraisal of published economic evaluations of home care for the elderly

Author Ramos, MLT Google Scholar
Ferraz, M. B. Google Scholar
Sesso, R. Google Scholar
Institution Sao Luiz Hosp
Universidade Federal de São Paulo (UNIFESP)
Abstract The goal of the study was to appraise the economic evaluations published between 1980 and 2004 of home care for the elderly, focusing on the methodological aspects. MEDLINE was searched to identify and assess economic evaluations (defined as an analysis comparing two or more strategies, involving the assessment of both costs and consequences) related to home care exclusively for the elderly (65 years or more) and to critically appraise the methodology using five accepted principles used worldwide for conducting economic evaluations. Twenty-four economic evaluations of home care for the elderly were identified and the articles were assessed. All five principles were satisfactorily addressed in two studies (8.3%), four principles in four studies (16.7%), three principles in five studies (20.8%), two principles in eight studies (33.3%) and only one principle in five studies (20.8%). A disparity in the methodology of writing economic evaluations compromises the comparisons among outcomes and lately jeopardizes decisions on the choice of the most appropriate healthcare interventions. the methodological principles represent important guidelines but the discussion of the context of the economic evaluation and the special characteristics of some services and populations should be considered for the appropriate use of economic evaluations. (C) 2004 Elsevier Ireland Ltd. All rights reserved.
Keywords economic analysis
effectiveness
costs
home care
guidelines
Language English
Date 2004-11-01
Published in Archives of Gerontology and Geriatrics. Clare: Elsevier Sci Ireland Ltd, v. 39, n. 3, p. 255-267, 2004.
ISSN 0167-4943 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 255-267
Origin http://dx.doi.org/10.1016/j.archger.2004.04.001
Access rights Closed access
Type Article
Web of Science ID WOS:000224438400006
URI http://repositorio.unifesp.br/handle/11600/28002

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