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Economic evaluation of quality assurance programmes.

M B Robinson1

  • 1Nuffield Institute for Health, Leeds, UK.

International Journal of Health Care Quality Assurance
|December 9, 1994
PubMed
Summary

Economic evaluation can justify quality assurance programs by assessing value for money. However, accurate costings and effectiveness modeling present significant challenges for reliable data collection.

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Area of Science:

  • Health economics
  • Quality improvement in healthcare

Background:

  • Growing investments in healthcare quality assurance programs necessitate methods for demonstrating value.
  • Economic evaluation offers a framework for assessing the cost-effectiveness of these initiatives.

Purpose of the Study:

  • To explore the application of economic evaluation to quality assurance programs.
  • To identify challenges in measuring costs and consequences for such programs.

Main Methods:

  • The study proposes a framework for economic evaluation, including cost and consequence measurement.
  • A case study of an audit program for acute myocardial infarction (AMI) is used to illustrate practical difficulties.

Main Results:

  • Challenges include obtaining accurate cost data and the wide confidence intervals in statistical analyses.
  • Modeling healthcare intervention effectiveness requires numerous assumptions, impacting reliability.

Conclusions:

  • Economic evaluation holds potential for assessing quality assurance programs.
  • Future utility depends on overcoming data collection and modeling complexities.

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