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Cost-Effectiveness Analysis in Implementation Science: a Research Agenda and Call for Wider Application
1Faculty of Health Sciences, Simon Fraser University, 8888 University Drive V5A 1S6, Burnaby, British Columbia, Canada.
Cost-effectiveness analysis (CEA) can improve public health strategies by evaluating implementation trade-offs. Integrating implementation science into CEA is crucial for real-world context and tailored recommendations.
Area of Science:
- Public Health
- Health Economics
- Implementation Science
Background:
- Cost-effectiveness analysis (CEA) is vital for decision-making in public health strategy implementation.
- Current application of CEA in implementation science studies is limited.
- Broader implementation of evidence-based public health interventions requires further research.
Purpose of the Study:
- To identify areas for development to enhance the uptake and impact of model-based CEA in implementation science.
- To integrate implementation science concepts into CEA for real-world applicability.
- To provide tailored guidance for evidence-based public health action.
Main Methods:
- Review of current practices and literature on CEA in implementation science.
- Description of examples integrating implementation science concepts into model-based CEA.
- Proposal of methodological advancements for CEA in implementation research.
Main Results:
- Model-based CEA can quantify the added value of implementation strategy components and phases.
- Integration of implementation science into CEA is needed for diverse delivery contexts.
- Six distinct domains for methodological advancement are proposed.
Conclusions:
- Enhancing model-based CEA uptake requires explicit integration of implementation science.
- Tailored recommendations for public health action can be provided by integrating CEA and implementation science.
- Further methodological development is needed to maximize the impact of CEA in implementation science research.
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