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

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dc.contributor.authorRamos, MLT
dc.contributor.authorFerraz, M. B.
dc.contributor.authorSesso, R.
dc.contributor.institutionSao Luiz Hosp
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T12:37:28Z
dc.date.available2016-01-24T12:37:28Z
dc.date.issued2004-11-01
dc.description.abstractThe 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.en
dc.description.affiliationSao Luiz Hosp, BR-01235000 São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, CPES, Paulista Ctre Hlth Econ, Dept Med,Div Rheumatol, São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Dept Med, CPES, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, CPES, Paulista Ctre Hlth Econ, Dept Med,Div Rheumatol, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Med, CPES, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent255-267
dc.identifierhttp://dx.doi.org/10.1016/j.archger.2004.04.001
dc.identifier.citationArchives of Gerontology and Geriatrics. Clare: Elsevier Sci Ireland Ltd, v. 39, n. 3, p. 255-267, 2004.
dc.identifier.doi10.1016/j.archger.2004.04.001
dc.identifier.issn0167-4943
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/28002
dc.identifier.wosWOS:000224438400006
dc.language.isoeng
dc.publisherElsevier B.V.
dc.relation.ispartofArchives of Gerontology and Geriatrics
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.rights.licensehttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
dc.subjecteconomic analysisen
dc.subjecteffectivenessen
dc.subjectcostsen
dc.subjecthome careen
dc.subjectguidelinesen
dc.titleCritical appraisal of published economic evaluations of home care for the elderlyen
dc.typeinfo:eu-repo/semantics/article
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