scholarly journals Economic evaluation of an intensive home visiting programme for vulnerable families: a cost-effectiveness analysis of a public health intervention

2009 ◽  
Vol 31 (3) ◽  
pp. 423-433 ◽  
Author(s):  
Emma McIntosh ◽  
Jane Barlow ◽  
Hilton Davis ◽  
Sarah Stewart-Brown
Keyword(s):  
Public Health ◽  
Economic Evaluation ◽  
Cost Effectiveness ◽  
Home Visiting ◽  
Public Health Intervention ◽  
Cost Effectiveness Analysis ◽  
Health Intervention ◽  
Effectiveness Analysis ◽  
Vulnerable Families

Cost-effectiveness analysis of public health interventions

2019 ◽  
pp. 161-176
Author(s):  
Rhiannon T. Edwards
Keyword(s):  
Public Health ◽  
Cost Effectiveness ◽  
Severe Asthma ◽  
Controlled Trial ◽  
Evaluation Studies ◽  
Intervention Group ◽  
Public Health Intervention ◽  
Cost Effectiveness Analysis ◽  
Effectiveness Analysis ◽  
Children With Asthma

Building on Chapter 2, which introduced the reader to the purpose, principles, and statistical methods of cost-effectiveness analysis, this chapter provides a case study of a cost-effectiveness analysis undertaken alongside a trial of a public health intervention conducted by Edwards and colleagues into enhancing ventilation in homes of children with asthma. The association between poor housing and ill-health has long been recognized. This chapter reproduces in full a paper reporting the CHARISMA study, one of the first economic evaluation studies worldwide alongside a pragmatic randomized controlled trial of improving heating and ventilation in the homes of children with asthma. In summary, tailored ventilation and heating modifications moved 17 per cent of children in the intervention group from below the original median (‘severe asthma’) to above that median (‘moderate asthma’), while only 3 per cent of controls moved from ‘severe’ to ‘moderate’. Thus, a net 14 per cent of children (or 29 per cent of children with ‘severe’ asthma) became ‘moderate’.

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