The potential role of cost-utility analysis in the decision to implement major system change in acute stroke services in metropolitan areas in England.

ABSTRACT:

Background

The economic implications of major system change are an important component of the decision to implement health service reconfigurations. Little is known about how best to report the results of economic evaluations of major system change to inform decision-makers. Reconfiguration of acute stroke care in two metropolitan areas in England, namely London and Greater Manchester (GM), was used to analyse the economic implications of two different implementation strategies for major system change.

Methods

A decision analytic model was used to calculate difference-in-differences in costs and outcomes before and after the implementation of two major system change strategies in stroke care in London and GM. Values in the model were based on patient level data from Hospital

SUBMITTER: Hunter RM 

PROVIDER: S-EPMC5852958 | biostudies-literature | 2018 Mar

REPOSITORIES: biostudies-literature