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Protocol for economic evaluation alongside the IMPLEMENT cluster randomised controlled trial.

Duncan Mortimer1, Simon D French, Joanne E McKenzie

  • 1Centre for Health Economics, Faculty of Business & Economics, Monash University, Melbourne, Australia. duncan.mortimer@buseco.monash.edu.au

Implementation Science : IS
|February 26, 2008
PubMed
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Implementing clinical practice guidelines for acute low back pain (LBP) may improve care quality. This study evaluates the cost-effectiveness of actively implementing LBP guidelines versus passive dissemination.

Area of Science:

  • Health economics
  • Clinical practice guideline implementation
  • Low back pain management

Background:

  • Evidence-based clinical practice guidelines (CPGs) for acute low back pain (LBP) offer potential improvements in care quality and safety.
  • While CPG dissemination strategies exist, active implementation plans and their cost-effectiveness for acute LBP are not well-established.
  • The IMPLEMENT study aims to assess the benefits and costs of moving beyond CPG development and dissemination to active implementation.

Purpose of the Study:

  • To conduct a cost-effectiveness and cost-utility analysis alongside the IMPLEMENT cluster randomised controlled trial (CRCT).
  • To quantify the additional costs and health gains of a targeted implementation strategy compared to guideline dissemination alone.
  • To evaluate the economic value of active implementation of acute LBP guidelines.

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Main Methods:

  • Economic evaluation using cost-effectiveness and cost-utility analyses.
  • Societal perspective adopted for quantifying costs and health gains.
  • Comparison between a targeted implementation strategy and dissemination-only access to CPGs within a cluster randomised controlled trial.

Main Results:

  • This section is not available in the provided abstract.

Conclusions:

  • The study protocol outlines the intent for an economic evaluation alongside the IMPLEMENT study.
  • The protocol facilitates peer review of the proposed economic evaluation methods.
  • It provides a transparent statement of the planned analyses for the economic evaluation.