ArticleQuality & safety in health care2003
Value for money of changing healthcare services? Economic evaluation of quality improvement.
Article in Quality & safety in health care, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Accounting for Capacity Constraints in Economic Evaluations of Precision Medicine: A Systematic Review.PharmacoEconomics · 2019Pooled it
- De-implementation of expensive blood saving measures in hip and knee arthroplasties: study protocol for the LISBOA-II cluster randomized trial.Implementation science : IS · 2014Trial
- Nurse-led motivational interviewing to change the lifestyle of patients with type 2 diabetes (MILD-project): protocol for a cluster, randomized, controlled trial on implementing lifestyle recommendations.BMC health services research · 2009Trial
- Improving patient adherence to lifestyle advice (IMPALA): a cluster-randomised controlled trial on the implementation of a nurse-led intervention for cardiovascular risk management in primary care (protocol).BMC health services research · 2008Trial
- Improving management of patients with acute cough by C-reactive protein point of care testing and communication training (IMPAC3T): study protocol of a cluster randomised controlled trial.BMC family practice · 2007Trial
- Does a joint development and dissemination of multidisciplinary guidelines improve prescribing behaviour: a pre/post study with concurrent control group and a randomised trial.BMC health services research · 2006Trial
- What methods are currently available for incorporating implementation considerations within the economic evaluation of health technologies? A scoping review.Health research policy and systems · 2024Article
- Reporting standards, outcomes and costs of quality improvement studies in Ireland: a scoping review.BMJ open quality · 2021Article
- The business case for quality improvement.Journal of perinatology : official journal of the California Perinatal Association · 2020Article
- Usage of primary and administrative data to measure the economic impact of quality improvement projects.BMJ open quality · 2020Review
- Introducing a reserve waiting list initiative for elective general surgery at a District General Hospital.BMJ open quality · 2019Article
- Emergent Challenges in Determining Costs for Economic Evaluations.PharmacoEconomics · 2017Review
- A detailed report of the resource use and costs associated with implementation of a short stay programme for breast cancer surgery.Implementation science : IS · 2015Observational
- Sustainability of healthcare innovations (SUSHI): long term effects of two implemented surgical care programmes (protocol).BMC health services research · 2012Article
- Viewpoint: Economic evaluation of package of care interventions employing clinical guidelines.Tropical medicine & international health : TM & IH · 2011Article
- Implementing cognitive behavior therapy for chronic fatigue syndrome in mental health care: a costs and outcomes analysis.BMC health services research · 2008Article
- The role of economics in the QUERI program: QUERI Series.Implementation science : IS · 2008Article
- Introduction of a breast cancer care programme including ultra short hospital stay in 4 early adopter centres: framework for an implementation study.BMC cancer · 2007Article
- The perceived financial impact of quality improvement efforts in community health centers.The Journal of ambulatory care managementArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
There are many instances of perceived or real inefficiencies in health service delivery. Both healthcare providers and policy makers need to know the impact and cost of applying strategies to change the behaviour of individuals or organisations. Quality improvement or implementation research is concerned with evaluating the methods of behavioural change. Addressing inefficiencies in healthcare services raises a series of issues, beginning with how inefficiency itself should be defined. The basic concepts of cost analysis and economic evaluations are explained and a model for working through the economic issues of quality improvement is discussed. This model combines the costs and benefits of corrected inefficiency with the costs and degree of behavioural change achieved by a quality improvement method in the policy maker's locality. It shows why it may not always be cost effective for policy makers to address suboptimal behaviour. Both the interpretation of quality improvement research findings and their local application need careful consideration. The limited availability of applicable quality improvement research may make it difficult to provide robust advice on the value for money of many behavioural quality improvement strategies.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.