Economic Evaluations of Health Service Interventions Targeting Patients with Multimorbidities: A Scoping Literature Review
Introduction: Multimorbid patients have been growing, leading to an exponential increase in healthcare costs and patterns of resource utilization. Despite the heightened interest toward integrated care programs as a response to the complex need of multimorbid patients, economic evaluations of these...
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| Format: | Article |
| Language: | English |
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Ubiquity Press
2025-01-01
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| Series: | International Journal of Integrated Care |
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| Online Access: | https://account.ijic.org/index.php/up-j-ijic/article/view/8623 |
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| author | Lucia Ferrara Vittoria Ardito Valeria D. Tozzi Rosanna Tarricone |
| author_facet | Lucia Ferrara Vittoria Ardito Valeria D. Tozzi Rosanna Tarricone |
| author_sort | Lucia Ferrara |
| collection | DOAJ |
| description | Introduction: Multimorbid patients have been growing, leading to an exponential increase in healthcare costs and patterns of resource utilization. Despite the heightened interest toward integrated care programs as a response to the complex need of multimorbid patients, economic evaluations of these programs remain scarce. This work investigated the economic evaluations of service interventions targeting multimorbid patients, to identify the characteristics of these programs and the methods applied to their evaluation. Methods: We conducted a scoping review of papers published between 2010 and 2021 on PubMed, Science Direct, EconLit and Web Of Science. The search strategy was built around three keyword blocks: service interventions, multimorbidity, economic evaluations. We selected economic evaluations of service interventions delivered through multiple care settings and targeting patients with 2+ chronic conditions. Results: Twenty-five articles were included. Interventions were categorized as organizational-type versus patient-oriented. The selected studies often targeted patients with one chronic disease, associated with a mental disorder, like depression or anxiety. Included studies were mostly cost-utility analyses conducted with the healthcare perspective. Discussions and conclusions: This work confirmed that economic evaluations of service interventions for multimorbid patients are limited in number. This could suggest that decision-making regarding the delivery of healthcare services for multimorbid patients may not always be based on a solid evidence base. More economic analyses are needed to inform evidence-based coverage decision-making. |
| format | Article |
| id | doaj-art-53cbf9a416b64f2d97c45e157551ec6e |
| institution | Kabale University |
| issn | 1568-4156 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj-art-53cbf9a416b64f2d97c45e157551ec6e2025-02-11T05:33:50ZengUbiquity PressInternational Journal of Integrated Care1568-41562025-01-01253310.5334/ijic.86238519Economic Evaluations of Health Service Interventions Targeting Patients with Multimorbidities: A Scoping Literature ReviewLucia Ferrara0https://orcid.org/0000-0001-6955-8983Vittoria Ardito1https://orcid.org/0000-0003-2034-716XValeria D. Tozzi2https://orcid.org/0000-0002-0660-7853Rosanna Tarricone3https://orcid.org/0000-0002-2009-9357Center for Research on Health and Social Care Management (CERGAS), SDA Bocconi School of Management, MilanCenter for Research on Health and Social Care Management (CERGAS), SDA Bocconi School of Management, MilanCenter for Research on Health and Social Care Management (CERGAS), SDA Bocconi School of Management, MilanCenter for Research on Health and Social Care Management (CERGAS), SDA Bocconi School of Management, Milan; Department of Social and Political Sciences, Bocconi University, MilanIntroduction: Multimorbid patients have been growing, leading to an exponential increase in healthcare costs and patterns of resource utilization. Despite the heightened interest toward integrated care programs as a response to the complex need of multimorbid patients, economic evaluations of these programs remain scarce. This work investigated the economic evaluations of service interventions targeting multimorbid patients, to identify the characteristics of these programs and the methods applied to their evaluation. Methods: We conducted a scoping review of papers published between 2010 and 2021 on PubMed, Science Direct, EconLit and Web Of Science. The search strategy was built around three keyword blocks: service interventions, multimorbidity, economic evaluations. We selected economic evaluations of service interventions delivered through multiple care settings and targeting patients with 2+ chronic conditions. Results: Twenty-five articles were included. Interventions were categorized as organizational-type versus patient-oriented. The selected studies often targeted patients with one chronic disease, associated with a mental disorder, like depression or anxiety. Included studies were mostly cost-utility analyses conducted with the healthcare perspective. Discussions and conclusions: This work confirmed that economic evaluations of service interventions for multimorbid patients are limited in number. This could suggest that decision-making regarding the delivery of healthcare services for multimorbid patients may not always be based on a solid evidence base. More economic analyses are needed to inform evidence-based coverage decision-making.https://account.ijic.org/index.php/up-j-ijic/article/view/8623economic evaluationhealth service interventionsmultimorbiditychronic conditions |
| spellingShingle | Lucia Ferrara Vittoria Ardito Valeria D. Tozzi Rosanna Tarricone Economic Evaluations of Health Service Interventions Targeting Patients with Multimorbidities: A Scoping Literature Review International Journal of Integrated Care economic evaluation health service interventions multimorbidity chronic conditions |
| title | Economic Evaluations of Health Service Interventions Targeting Patients with Multimorbidities: A Scoping Literature Review |
| title_full | Economic Evaluations of Health Service Interventions Targeting Patients with Multimorbidities: A Scoping Literature Review |
| title_fullStr | Economic Evaluations of Health Service Interventions Targeting Patients with Multimorbidities: A Scoping Literature Review |
| title_full_unstemmed | Economic Evaluations of Health Service Interventions Targeting Patients with Multimorbidities: A Scoping Literature Review |
| title_short | Economic Evaluations of Health Service Interventions Targeting Patients with Multimorbidities: A Scoping Literature Review |
| title_sort | economic evaluations of health service interventions targeting patients with multimorbidities a scoping literature review |
| topic | economic evaluation health service interventions multimorbidity chronic conditions |
| url | https://account.ijic.org/index.php/up-j-ijic/article/view/8623 |
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