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CP3 - PATIENTS-INTERVENTION-COMPARATORS-OUTCOMES-SETTINGS-TIME-EFFECTS-SENSITIVITY (PICOSTEPS): REPRESENTING EVIDENCE-BASED HEALTH ECONOMIC EVALUATIONS (EBHEE) IN THE ORDER OF IMPORTANCE
... This cost-benefit analysis followed the health technology assessment (HTA) pathway for the suitable and applicable parts. Thus, PICOSTEPS principle (Patients -Intervention -Comparator -Outcome -Setting -Time -Effects -Perspective -Sensitivity) structural analysis and reporting principle was applied, as PICOSTEPS reports the content of health economic evaluations such as cost-effectiveness, cost-utility, cost-benefit, cost minimization, value of information, risk-benefit or RWD in the order of importance [13][14][15][16]. PICOSTEPS covers the content of the official cost-effectiveness analysis guidelines by the Finnish Pharmaceuticals Pricing Board [17] and is line with the HTA recommendations by the Finnish Medicines Agency [18] and Finnish Medical Society Duodecim [19]. ...
HealthyWeighHub (HWH) is a 12-month coaching and education service designed to help patients with obesity make permanent life changes, launched and expanded gradually in Helsinki University Hospital (HUS) Healthvillage since 2016.
We examined the direct secondary care cost benefits of HWH, measured with potential capacity freed (PCF) compared to conventional group coaching (CGC). Costs included health care, patient co-payments and travelling expenses. First, we evaluated the PCF actualized in the first two years from 2016 to 2018 in the HUS Specific Catchment Area (HUS ERVA). Then, we predicted the PCF at Finnish national level, if HWH was implemented gradually over the five years from 2018 to 2022, aimed at treating 1 % of adults with obesity annually in 2022.
HWH’s actualized PCF was €2.69 million compared to CGC in the first two years in HUS ERVA. If the patients who received CGC had been treated with HWH instead, total PCF could have been €3.71 million. At Finnish national level, providing CGC to 1 % of adults with obesity was predicted to cost €28.0 million (€5.08 per capita) annually in 2022. With HWH predicted cost was €7.31 million (€1.33 per capita), meaning an annual PCF of €20.7 million (€3.75 per capita) in 2022 and cumulative five-year PCF of €57.5 million (€10.43 per capita). Compared to CGC, HWH is estimated to enable treatment of approximately 3.8-times more patients with obesity at the same cost.
HWH can be more affordable than CGC and a potentially efficient tool to combat the obesity epidemic. Future evaluations should examine HWH’s effectiveness and impact on the indirect costs associated with weight loss and long-term illness.
Economic evaluation of cultural well-being activities Further development of evaluation methods in Finland.
The project aimed to develop 1) methods and calculation models for the ex-ante economic evaluation of cultural well-being activities, 2) evaluation criteria, 3) identify the needs for information production to support evaluation, and 4) make recommendations for measures to develop the economic evaluation of cultural well-being activities in Finland.
Through stakeholder interviews, the project identified opportunities and challenges for the economic evaluation of cultural well-being activities. Also, it mapped the current effectiveness research on cultural well-being internationally through a scoping review. In addition, the project piloted the perceived well-being indicators identified from the literature in evaluating the effectiveness of cultural well-being activities. The final sub-project applied health economic modelling methods to the economic evaluation of inclusive cultural well-being interventions to provide an example.
Currently, research on the effectiveness of cultural well-being interventions is limited and patchy, both nationally and internationally. However, actors and organizations in the field are prepared for effectiveness-based collaboration. This requires concrete actions and building the necessary knowledge base to strengthen the evaluation and measurement of the effectiveness of cultural well-being activities.
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