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The HMinfo Research Library contains an in-depth collection of materials on home modifications and related subjects.

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Critical appraisal of published economic evaluations of home care for the elderly

Archives of Gerontology & Geriatrics

Author: Ramos, M. L., Ferraz, M. B., Sesso, R.
Type: Journal Article
Year: 2004


The goal of the study was to appraise the economic evaluations published between 1980 and 2004 of "home care" for the elderly, focusing on the methodological aspects. MEDLINE was searched to identify and assess economic evaluations (defined as an analysis comparing two or more strategies, involving the assessment of both costs and consequences) related to "home care" exclusively for the elderly (65 years or more) and to critically appraise the methodology using five accepted principles used worldwide for conducting economic evaluations. Twenty-four economic evaluations of "home care" for the elderly were identified and the articles were assessed. All five principles were satisfactorily addressed in two studies (8.3%), four principles in four studies (16.7%), three principles in five studies (20.8%), two principles in eight studies (33.3%) and only one principle in five studies (20.8%). A disparity in the methodology of writing economic evaluations compromises the comparisons among outcomes and lately jeopardizes decisions on the choice of the most appropriate healthcare interventions. The methodological principles represent important guidelines but the discussion of the context of the economic evaluation and the special characteristics of some services and populations should be considered for the appropriate use of economic evaluations. [References: 40]

Further Details

Alt Title: Arch Gerontol Geriatr
Publish Dates: Nov-Dec
Author Address: Sao Luiz Hospital, R.Traipu, 568 ap. 131, Pacaembu, Sao Paulo, SP, CEP 01235-000, Brazil.
Full Title: Arch Gerontol Geriatr
Pages: 255-67
Volume: 39
Issue: 3
ISBN/ISSN: 0167-4943
Accession Number: July 2006
Notes: Review Ireland Journal Article Review
Research Notes: Electronic copy added 12/07/2013
Keywords: economicsolderNew South Waleshome care
Reads: 229