Details:

Alternative Title:
J Public Health Dent
Personal Author:
O’Connell, Joan M. ; Griffin, Susan
O’Connell, Joan M. ; Griffin, Susan Less -
Description:
Background

Broad adoption of interventions that prove effective in randomized clinical trials or comparative effectiveness research may depend to a great extent on their costs and cost-effectiveness (CE). Many studies of behavioral health interventions for oral health promotion and disease prevention lack robust economic assessments of costs and CE.

Objective

To describe methodologies employed to assess intervention costs, potential savings, net costs, CE, and the financial sustainability of behavioral health interventions to promote oral health.

Methods

We provide an overview of terminology and strategies for conducting economic evaluations of behavioral interventions to improve oral health based on the recommendations of the Panel of Cost-Effectiveness in Health and Medicine. To illustrate these approaches, we summarize methodologies and findings from a limited number of published studies. The strategies include methods for assessing intervention costs, potential savings, net costs, CE, and financial sustainability from various perspectives (e.g., health-care provider, health system, health payer, employer, society). Statistical methods for estimating short-term and long-term economic outcomes and for examining the sensitivity of economic outcomes to cost parameters are described.

Discussion

Through the use of established protocols for evaluating costs and savings, it is possible to assess and compare intervention costs, net costs, CE, and financial sustainability. The addition of economic outcomes to outcomes reflecting effectiveness, appropriateness, acceptability, and organizational sustainability strengthens evaluations of oral health interventions and increases the potential that those found to be successful in research settings will be disseminated more broadly.


Subjects:
[+]
Article Behavioral Interventions Behavioral Research Behavior Therapy Comparative Effectiveness Research Cost-Benefit Analysis Cost-effectiveness Costs Financial Sustainability Health Behavior Health Planning Health Promotion Humans Oral Health Planning Techniques Program Evaluation Research Design Resource Allocation
Source:
J Public Health Dent. 71(Suppl 1):S101-S118
Pubmed ID:
21656966
Pubmed Central ID:
PMC4813801
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHSUnited States/
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:9b8d8cd092ec2200ec66cd39677015bb3210f0a1ce900a314f352f2b56b4509c
Download URL:
https://stacks.cdc.gov/view/cdc/38756/cdc_38756_DS1.pdf
File Type:

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