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DC Field | Value | Language |
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dc.contributor.author | Trueman, P | - |
dc.contributor.author | Anokye, NK | - |
dc.date.accessioned | 2013-02-11T10:04:13Z | - |
dc.date.available | 2013-02-11T10:04:13Z | - |
dc.date.issued | 2012 | - |
dc.identifier.citation | Journal of Public Health, Online Paper, Jul 2012 | en_US |
dc.identifier.issn | 1741-3850 | - |
dc.identifier.uri | http://jpubhealth.oxfordjournals.org/content/early/2012/07/01/pubmed.fds050 | en |
dc.identifier.uri | http://bura.brunel.ac.uk/handle/2438/7219 | - |
dc.description | Copyright @ 2012 The Authors. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/2.5/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. | en_US |
dc.description | This article has been made available through the Brunel Open Access Publishing Fund. | - |
dc.description.abstract | BACKGROUND: This paper explores the application of alternative approaches to economic evaluation of public health interventions, using a worked example of exercise referral schemes (ERSs). METHODS: Cost-utility (CUA) and cost-consequence analyses (CCA) were used to assess the cost-effectiveness of ERSs. For the CUA, evidence was synthesized using a decision analytic model that adopts a lifetime horizon and NHS/Personal Social Services perspective. Outcomes were expressed as incremental cost per quality-adjusted life-year (QALY). CCA was conducted from a partial-societal perspective, including health and non-healthcare costs and benefits. Outcomes were reported in natural units, such as cases of strokes or CHD avoided. RESULTS: Compared with usual care, the incremental cost per QALY of ERS is £20 876. Based on a cohort of 100 000 individuals, CCA estimates cost of ERS at £22 million to the healthcare provider and £12 million to participants. The benefits of ERS include additional 3900 people becoming physically active, 51 cases of CHD avoided, 16 cases of stroke avoided, 86 cases of diabetes avoided and a gain of ∼800 QALYs. CONCLUSIONS: CCA might provide greater transparency than CUA in reporting the outcomes of public health interventions and have greater resonance with stakeholders involved in commissioning these interventions. | en_US |
dc.description.sponsorship | This work was supported by the NIHR Health Technology Assessment programme (project number 08/72/01). This article is made available through the Brunel Open Access Publishing Fund. | en_US |
dc.language | ENG | - |
dc.language.iso | en | en_US |
dc.publisher | Oxford University Press | en_US |
dc.subject | Cost-consequence analysis | en_US |
dc.subject | Cost-utility analysis | en_US |
dc.subject | Economic evaluation | en_US |
dc.subject | Physical activity | en_US |
dc.subject | Public health intervention | en_US |
dc.title | Applying economic evaluation to public health interventions: The case of interventions to promote physical activity | en_US |
dc.type | Article | en_US |
dc.identifier.doi | http://dx.doi.org/10.1093/pubmed/fds050 | - |
pubs.organisational-data | /Brunel | - |
pubs.organisational-data | /Brunel/Brunel Active Staff | - |
pubs.organisational-data | /Brunel/Brunel Active Staff/Health Economics Research Group | - |
pubs.organisational-data | /Brunel/Brunel Active Staff/Health Economics Research Group/HERG | - |
Appears in Collections: | Publications Brunel OA Publishing Fund Health Economics Research Group (HERG) |
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Fulltext.pdf | 199.5 kB | Adobe PDF | View/Open |
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