Methods for economic evaluation alongside a multicentre trial in developing countries: a case study from the WHO Antenatal Care Randomised Controlled Trial.
Paediatr Perinat Epidemiol
; 12 Suppl 2: 75-97, 1998 Oct.
Article
em En
| MEDLINE
| ID: mdl-9805724
ABSTRACT
PIP: Economic estimations at the technology assessment stage of health interventions permit early recognition of the relative efficiencies of health care interventions and allow those that are expensive and have limited health effects to be discouraged from widespread adoption. The World Health Organization (WHO) Antenatal Care Randomized Controlled Trial includes a component aimed at estimating the incremental costs and cost-effectiveness of a new rationalized program of prenatal care relative to those associated with the standard prenatal care package. 2400 pregnant women attending 53 clinics in Argentina, Cuba, Thailand, and Saudi Arabia have been enrolled. The central concern is that the new program of prenatal care does not result in higher overall costs to either the health care system or women receiving care than the currently practiced model. Resources included in the unit cost estimation are staff, drugs and medications, materials, equipment, vehicles, utilities, and buildings and land. Monthly costing data are being collected at all study sites in Cuba and Thailand over a 12-month period and a questionnaire has been developed to assess the costs borne by women. Data from these two sources will be collated to produce tables of costs at the health facility, country, and international levels. The reliability of the results should be enhanced by the association of the economic analysis with a carefully designed randomized trial intended to minimize bias in terms of differences in the quantities of services used.
Palavras-chave
Americas; Arab Countries; Argentina; Asia; Caribbean; Cost Benefit Analysis; Cost Effectiveness; Cuba; Delivery Of Health Care; Developing Countries; Evaluation; Evaluation Indexes; Health; Health Services; International Agencies; Latin America; Maternal Health Services; Maternal-child Health Services; North America; Organization And Administration; Organizations; Prenatal Care--cost; Primary Health Care; Program Evaluation; Programs; Quantitative Evaluation; Reproductive Health; Research Methodology; Saudi Arabia; South America; Southeastern Asia; Study Design; Thailand; Un; Western Asia; Who
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Cuidado Pré-Natal
/
Organização Mundial da Saúde
/
Ensaios Clínicos Controlados Aleatórios como Assunto
/
Estudos Multicêntricos como Assunto
/
Custos de Cuidados de Saúde
/
Países em Desenvolvimento
/
Pesquisa sobre Serviços de Saúde
Tipo de estudo:
Clinical_trials
/
Guideline
/
Health_economic_evaluation
/
Health_technology_assessment
/
Prognostic_studies
Aspecto:
Determinantes_sociais_saude
Limite:
Female
/
Humans
/
Pregnancy
País/Região como assunto:
America do sul
/
Argentina
/
Asia
/
Caribe
/
Cuba
Idioma:
En
Revista:
Paediatr Perinat Epidemiol
Assunto da revista:
EPIDEMIOLOGIA
/
PEDIATRIA
/
PERINATOLOGIA
Ano de publicação:
1998
Tipo de documento:
Article
País de publicação:
Reino Unido