What attributes of a product make beneficial of health economic view in perioperative procedures?
Hi Tuomas,
I hope all is well.
Your question is germane for numerous discussions.
Although I have a brief answer - Evaluation of the healthcare product(s) relative to cost and quality metrics - reading the attached paper will provide significant detail for going forward. Stay well. Thanks much. Eric
Dear Mr. Silfen,
I hope all is well too.
Many thanks for your answer and for being the first one. You are helping me forward with this. The research question is still a bit raw. However, I am trying to find connections and different ways to approach this subject. Silfen et al (2017) mention the concept of "medical understanding" reminds evidence-based practice in nursing sciences. This could be the core for counting benefits for a product in healthcare. Products need to be evaluated in different ways to ensure safety and quality. Regulation is one key to ensure this and lately in Europe medical equipment needs to have specific standards. This is just one step forward with better products in healthcare. However, I believe this work needs to be done by all actors such as manufacturer, end-user, and authority.
In many countries, people are getting older and by develop of medicine, we treat different diseases that we could not treat before. This has led to the healthcare costs increase. Healthcare aims to promote quality and there are already many commonly accepted ways to measure the results of healthcare actions. Such as cost analysis (CUA, CEA, CMA, CBA) and quality of life adjusted years (QALY). However, in economic evaluation might be forgotten how intervention or equipment affects the whole process of care. A change in process can cause unrecognized costs in pre-or postoperative care or customer's other fields of living such as family.
The Healthcare system is complex and heterogeneous around the world. An operation can be the same, but procedures differ with staff, equipment and process'. If I want to find the answer for how to count benefits for a product in healthcare, the method can not be simple or can it be? I see that a product is just one factor in the whole customer's care pathway, but it can affect its length, costs, process, and experience. If we take to account all factors what a product can lead the evaluation comes complex. What are the all factors to take into account in product evaluation in healthcare? A list of factors feels long if we want to take into account all factors.
You are right, a full health economic evaluation of a new intervention, such as a new peri-operative procedure, should include downstream effects, both health effects as impacts on health care costs and indirect costs.
This usually requires gathering relevant information from different sources.
I do not believe that you should depend on Q&A on ResearchGate for getting your methods of your economic evaluation right.
If you have nobody with experience to help you, maybe you can make do with some books and/or online resources, such as:
ISPOR, which focusses on drugs but a lot is applicable to other medical interventions:
https://www.ispor.org/
Their web site has a few docs on best practices:
ispor-good-practices-for-outcomes-research
Such as:
cost-effectiveness-analysis-alongside-clinical-trials-ii
And a series of 7 of which this is part 1:
modeling-good-research-practices---overview
The Second Panel:
https://jamanetwork.com/journals/jama/article-abstract/2552214
Books:
Methods for the Economic Evaluation of Health Care Programmes
https://global.oup.com/academic/product/methods-for-the-economic-evaluation-of-health-care-programmes-9780199665884
There is a book series, which happens to got published by the same company:
https://global.oup.com/academic/content/series/h/handbooks-in-health-economic-evaluation-hee/?cc=us&lang=en&
Decision Making in Health and Medicine - Integrating Evidence and Values:
https://www.cambridge.org/core/books/decision-making-in-health-and-medicine/31FD197195DAE2A6321409568BEFA2DD
Dear Mr. Boer,
Thank you for your answer and nice to have another view for this. The methodology is near my heart and critique is welcome when planning a new study. It is true that by Researchgate Q&A I won't get absolute methods for the study. Therefore, it is important to clear the theory, and thanks for your resources.
Before starting this study, I wanted to clear existing studies, methods, frames of reference, and even the answer to my research question. During the last weeks, I have done this investigation of frames of reference and answers for a research question. My research problem seems complex and the answer won't be simple even.
As earlier is mentioned, there are already different health economic evaluations existing. Thus, I have not found the right method to study this from reliable and valid view. I think I need to get back at the research table and take a couple of steps backward.
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