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Cost-effectiveness analysis in the nursing literature, 1992-1996

C A Allred1, P H Arford, P D Mauldin

  • 1Health Systems Leadership & Outcomes, Graduate School of Nursing, Duke University, Durham, NC 27710, USA. allre006@mc.duke.edu

Image--The Journal of Nursing Scholarship
|October 1, 1998
PubMed
Summary

Nursing cost-effectiveness research (CEA) studies from 1992-1996 showed similar flaws to other health fields. Methodological guidelines and interdisciplinary strategies are crucial for advancing nursing CEA.

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Area of Science:

  • Health Services Research
  • Nursing Economics
  • Health Policy

Background:

  • Cost-effectiveness analysis (CEA) is vital for evaluating healthcare interventions.
  • Nursing research has increasingly incorporated CEA to assess intervention value.
  • Standardized methodologies are needed to ensure the quality of nursing CEA.

Purpose of the Study:

  • To review U.S. Panel on Cost-Effectiveness in Health and Medicine recommendations for nursing research.
  • To critique nursing CEA literature based on established CEA guidelines.
  • To propose an interdisciplinary framework and guidelines for future nursing CEA.

Main Methods:

  • Review of seven nursing CEA studies published between 1992 and 1996.
  • Analysis of each study's perspective, net costs, net effect, cost-effect analysis, and decision outcomes.

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  • Comparison of nursing CEA studies with general health and medical CEA literature.

    • Main Results:

    • Nursing CEA studies from 1992-1996 exhibited flaws comparable to those in broader health and medical CEA literature.
    • The reviewed nursing studies varied in their adherence to established CEA principles.
    • No significant difference in methodological rigor was found between nursing CEA and other healthcare CEA studies.

    Conclusions:

    • Advancements in nursing cost-effectiveness research require robust methodological guidelines.
    • Interdisciplinary collaboration is essential for improving the quality and impact of nursing CEA.
    • Future nursing interventions and research should integrate CEA principles more effectively.