Mixed-method approaches to strengthen economic evaluations in implementation research
Mixed-method approaches to strengthen economic evaluations in implementation research
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DOI：
10.1186/s13012-018-0850-6
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发表时间：
2019-01-11
影响因子：
7.2
通讯作者：
Eisenberg, Daniel
中科院分区：
文献类型：
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作者：
Dopp, Alex R.;Mundey, Peter;Eisenberg, Daniel
从经济评估的指导，实施战略代表最佳的投资回报将是至关重要的，以推进医疗保健的三重目标：改善病人护理和人口健康，同时最大限度地减少人均成本。传统的（定量）经济评估的结果是有限的背景信息和利益相关者的观点，这不能单独捕获的货币价值，是特别普遍的实施科学研究的剩余定性残留。经济评估的定性方法的出现提供了一个很有前途的解决方案。Main body为了最大限度地发挥经济评估对实施科学的贡献，我们建议研究人员采用混合方法研究议程，将传统的定量方法与创新的、基于背景的定性方法相结合。目前，这样的研究非常罕见。为了帮助实施科学家在利用混合方法在这项研究的背景下，我们提出了一个适应分类的混合方法的研究相关的经济评估。然后，我们说明了在最近完成的成本效益评价的混合方法的应用，利用经济evaluations.ConclusionsBy纳入定性方法的报告标准的适应版本，实施研究人员可以丰富他们的经济评价与详细的，具体的信息，告诉完整的故事的成本和实施的影响。最后，我们提供建议，建立一个研究议程，在混合方法的经济评估，沿着更多的资源和培训，以支持调查人员谁愿意回答我们的行动呼吁。
BackgroundGuidance from economic evaluations on which implementation strategies represent the best return on investment will be critical to advancing the Triple Aim of health care: improving patient care and population health while minimizing per-capita cost. The results of traditional (quantitative) economic evaluations are limited by a remaining qualitative residual of contextual information and stakeholders perspectives, which cannot be captured by monetary values alone and is particularly prevalent in implementation science research. The emergence of qualitative methods for economic evaluation offers a promising solution.Main bodyTo maximize the contributions of economic evaluations to implementation science, we recommend that researchers embrace a mixed-methods research agenda that merges traditional quantitative approaches with innovative, contextually grounded qualitative methods. Such studies are exceedingly rare at present. To assist implementation scientists in making use of mixed methods in this research context, we present an adapted taxonomy of mixed-method studies relevant to economic evaluation. We then illustrate the application of mixed methods in a recently completed cost-effectiveness evaluation, making use of an adapted version of reporting standards for economic evaluations.ConclusionsBy incorporating qualitative methods, implementation researchers can enrich their economic evaluations with detailed, context-specific information that tells the full story of the costs and impacts of implementation. We end by providing suggestions for building a research agenda in mixed-method economic evaluation, along with more resources and training to support investigators who wish to answer our call to action.