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A Model for Estimating the Cost-Utility of Clinical Audit: The Example of Thrombolysis for Suspected Acute Myocardial Infarction

Published online by Cambridge University Press:  10 March 2009

Michael B. Robinson
Affiliation:
London School of Hygiene and Tropical Medicine
Elizabeth Thompson
Affiliation:
London School of Hygiene and Tropical Medicine
Nick A. Black
Affiliation:
London School of Hygiene and Tropical Medicine

Abstract

Economic evaluation of quality assurance programs is often called for but rarely reported. A study was designed to estimate the cost-utility of audit of thrombolysis in four U.K. district general hospitals, using the quality-adjusted life year. Although the results obtained were imprecise, the model used could be applied in future evaluations.

Type
General Essays
Copyright
Copyright © Cambridge University Press 1998

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References

REFERENCES

1. Anonymous. Lotus 1-2-3 release 3.2. Slough: Lotus Development Corporation, 1992.Google Scholar
2. Anonymous. The DH register of cost-effectiveness studies: A review of study content quality. York: University of York, 1995. CHE discussion paper no. 128.Google Scholar
3.Armitage, P., & Berry, G.Statistical methods in medical research, 2nd ed.Oxford: Black well, 1987.Google Scholar
4.Black, N.Quality assurance of medical care. Journal of Public Health Medicine, 1990, 12, 97104.CrossRefGoogle ScholarPubMed
5.Bowns, I. R., Gibson, M. A. J., Soper, J. B, & Woods, K. L.Efficient choice between drugs: Application to intravenous thrombolytic agents. Health Bulletin, 1992, 50, 125–31.Google Scholar
6.Cambridge Training and Development. Medical audit and the manager: Workbook. Bristol: NHS Training Directorate, 1993.Google Scholar
7.Gudex, C., & Kind, P.The QALY toolkit. York: Centre for Health Economics, 1988. CHE discussion paper no. 38.Google Scholar
8.Maynard, A.Developing the health care market. The Economic Journal, 1991, 101, 1277–86.CrossRefGoogle Scholar
9.McDonald, C. J.Protocol-based computer reminders, the quality of care and the non-perfectibility of man. New England Journal of Medicine, 1976, 295, 1351–55.CrossRefGoogle Scholar
10.NHS Management Executive. Clinical audit 1994/95 and beyond. Leeds: NHSME, 1994 Executive letter EL(94) 20.Google Scholar
11.Robinson, M. B., Thompson, E., & Black, N. A.Evaluation of the effectiveness of guidelines, audit and feedback: Improving the use of intra-venous thrombolysis in patients with suspected acute myocardial infarction. International Journal of Quality in Health Care, 1996, 8, 211222.CrossRefGoogle Scholar
13.Stross, J. K., & Bole, G. G.Evaluation of a continuing education program in rheumatoid arthritis. Arthritis and Rheumatology, 1980, 23, 846–49.CrossRefGoogle ScholarPubMed
12.Standing Committee on Postgraduate Medical Education. Medical audit: The educational implications. London: SCOPME, 1989.Google Scholar