scholarly journals Age is just a number – and so is frailty: Strategies to inform resource allocation during the COVID-19 pandemic

CJEM ◽  
2020 ◽  
Vol 22 (4) ◽  
pp. 411-413 ◽  
Author(s):  
Kevin F. Boreskie ◽  
Patrick E. Boreskie ◽  
Don Melady
Keyword(s):  
Resource Allocation ◽  
Inform Resource Allocation

scholarly journals Whole Disease Modeling to Inform Resource Allocation Decisions in Cancer: A Methodological Framework

2012 ◽  
Vol 15 (8) ◽  
pp. 1127-1136 ◽  
Author(s):  
Paul Tappenden ◽  
Jim Chilcott ◽  
Alan Brennan ◽  
Hazel Squires ◽  
Matthew Stevenson
Keyword(s):  
Resource Allocation ◽  
Disease Modeling ◽  
Methodological Framework ◽  
Allocation Decisions ◽  
Inform Resource Allocation ◽  
Resource Allocation Decisions

Relating health-related Quality of Life to disability progression in multiple sclerosis, using the 5-level EQ-5D

2013 ◽  
Vol 19 (9) ◽  
pp. 1190-1196 ◽  
Author(s):  
Emer Fogarty ◽  
Cathal Walsh ◽  
Roisin Adams ◽  
Christopher McGuigan ◽  
Michael Barry ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Resource Allocation ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Anxiety Depression ◽  
The Relationship ◽  
Inform Resource Allocation

Background: Increasing use of the Quality-Adjusted Life-Year to inform resource allocation decision-making has highlighted the importance of relating clinical and health-related quality of life (HRQoL) outcomes in multiple sclerosis (MS) patients. Objective and Methods: To investigate the relationship between the Expanded Disability Status Scale (EDSS) and HRQoL utility, using the 5-level EQ-5D (EQ-5D-5L). The discriminatory power of the EQ-5D-5L was assessed using Shannon’s indices. Results: A linear decline in utility was observed with changes in EDSS score from 0 to 6, after which point the relationship exhibited greater variability. Mean utility values ranged from −0.22 at EDSS 9 to 0.88 at EDSS 0. We found that the discriminative capacity of the EQ-5D-5L was considerably lower for the domains self-care and anxiety/depression, compared with other health-related domains. Conclusion: In its first reported use in an MS population, the EQ-5D-5L displayed good discriminatory capacity, although performance differed between the various domains of health, with evidence of a ceiling effect present in the domains of self-care and anxiety/depression. The EQ-5D-5L demonstrated a high correlation with EDSS in our MS cohort up to EDSS 6, after which point the utility valuation of severe health states exhibited much greater variability. Utility estimates from this study may be used in economic evaluations of disease-modifying therapies in MS, to inform resource-allocation decisions.

scholarly journals Novel Approaches for Estimating Female Sex Worker Population Size in Conflict-Affected South Sudan (Preprint)

2018 ◽  
Author(s):  
Alfred Geoffrey Okiria ◽  
Alex Bolo ◽  
Victoria Achut ◽  
Golda Ceasar Arkangelo ◽  
Acaga Taban Ismail Michael ◽  
...  
Keyword(s):  
Resource Allocation ◽  
Population Size ◽  
Lower Estimate ◽  
South Sudan ◽  
Multiplier Method ◽  
Female Population ◽  
Female Sex ◽  
Unique Object ◽  
Capture Recapture ◽  
Inform Resource Allocation

BACKGROUND Limited data exist describing the population size of female sex workers (FSW) in South Sudan. A population size estimation exercise among FSW was undertaken in Juba and Nimule during the Eagle Survey. OBJECTIVE The study aimed to estimate the number of FSW in Juba and Nimule to inform resource allocation and service provision for FSW. METHODS We utilized service and unique object multipliers, and 3-source capture-recapture methods in conjunction with a respondent-driven sampling (RDS) survey to estimate the number of FSW in Juba and Nimule. For service multiplier, the number of FSW testing for HIV in 2015 (Juba) and 2016 (Nimule) was obtained from the LINKAGES program targeting FSW. Survey participants were asked whether they had been tested for HIV by LINKAGES during the relevant period. A total of 2 separate unique object distributions were conducted in Juba and Nimule. In Nimule, these were combined to produce a 3-source capture-recapture estimate. The exercise involved distribution of key chains and bangles to FSW, documentation of the number of those who received unique objects, and questions during RDS survey to assess whether participants received unique objects. RESULTS In Juba, the service multiplier method yielded an estimate of 5800 (95% CI 4927-6673) FSW. The unique object estimate (key chain and RDS participation) yielded 5306 (95% CI 4673-5939). Another estimate using RDS participation and receipt of a bangle yielded a much lower estimate of 1863 (95% CI 1776-1951), as did a 2-source estimate of key chain and bangle (2120, 95% CI 2028-2211). A 3-source capture-recapture estimate could not be produced because aggregate rather than individual level data were collected during the third capture. The multiplier estimate using key chain and RDS participation was taken as the final population estimate for FSW in Juba, which constitutes more than 6% of the female population aged 15 to 64 years. In Nimule, the service multiplier method yielded an estimate of 9384 (95% CI 8511-10,257). The 2-source estimates for key chain and RDS yielded 6973 (95% CI 4759-9186); bangles and RDS yielded a higher estimate of 13,104 (95% CI 7101-19,106); key chains and bangles yielded a lower estimate of 1322 (95% CI 1223-1420). The 3-source capture-recapture method using Bayesian nonparametric latent-class model-based estimate yielded a population of 2694 (95% CI 1689-6945), and this was selected as the final estimate for Nimule, which constitutes nearly 40% of female population aged 15 to 64 years. CONCLUSIONS The service and unique object multiplier, and 3-source capture-recapture methods were successfully used to estimate the number of FSW in Nimule, whereas service and unique object multiplier methods were successfully used in Juba. These methods yielded higher than previously estimated FSW population sizes. These estimates will inform resource allocation and advocacy efforts to support services for FSW.

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