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Children and Young People's Health Partnership Evelina London Model of Care: economic evaluation protocol of a

Marina Soley-Bori1, Raghu Lingam2, Rose-Marie Satherley3

  • 1Department of Population Health Sciences, King's College London, London, UK marina.soley_bori@kcl.ac.uk.

BMJ Open
|November 25, 2021
PubMed

Insights

The Children and Young People's Health Partnership (CYPHP) model improves integrated care for children with common health issues. This economic evaluation assesses its cost-effectiveness and impact on health outcomes for children and young people.

Area of Science:

  • Health Services Research
  • Pediatric Health
  • Health Economics

Background:

  • The Children and Young People's Health Partnership (CYPHP) Evelina London Model of Care offers integrated healthcare for children and young people (CYP).
  • It incorporates population health management, specialist multidisciplinary clinics, and professional training resources.
  • Implemented in South London since April 2018, its effectiveness is being evaluated.

Purpose of the Study:

  • To conduct a within-trial and beyond-trial economic evaluation of the CYPHP model.
  • To compare the resource use and health outcome impacts of CYPHP against enhanced usual care.
  • To assess cost-effectiveness from National Health Service/Personal Social Service and societal perspectives.

Main Methods:

  • A cluster randomised controlled trial involving 90,000 CYP under 16 across 23 general practitioner (GP) practice clusters.
  • Cost-effectiveness analysis of a sample of 2,138 CYP with asthma, eczema, or constipation.
  • Health outcomes measured using the Paediatric Quality of Life Inventory and Child Health Utility 9 Dimensions (CHU-9D) for quality-adjusted life years (QALYs).
  • A 10-year long-term model to extend the analytical horizon.

Main Results:

  • Economic evaluation will quantify resource use and health outcome impacts.
  • Cost-effectiveness analysis will determine the value of CYPHP for specific pediatric conditions.
  • Cost-benefit analysis will integrate parental well-being using the Warwick-Edinburg Mental Well-being Scale.

Conclusions:

  • The economic evaluation will provide crucial data on the value of integrated care models like CYPHP.
  • Findings will inform decision-making for community-based pediatric healthcare, particularly in urban settings.
  • Results will be disseminated through peer-reviewed publications, policy briefs, and community events.
Abstract

Keywords:
health economicshealth policypaediatrics

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