Protocol for an economic evaluation of a tele-neurologic intervention alongside a stepped wedge randomised controlled trial (NeTKoH)

BMC Health Services Research

Study Protocol

Agnes Flöel¹  Felix von Podewils¹  Anselm Angermaier¹  Ana S. Oliveira Gonçalves²  Imke Mayer²  Kerstin Wainwright²  Ricarda S. Schulz²  Tobias Kurth² 

[1] Department of Neurology, University Medicine Greifswald, Greifswald, Germany;Institute of Public Health, Charité – Universitätsmedizin Berlin, Berlin, Germany;

关键词: Tele-neurology;    Telemedicine;    Primary care;    General practitioner;    Health care management;    Cost-effectiveness;    Cost-utility;    Statutory health insurance;    Claims data;    Cluster randomized trial;   

DOI  :  10.1186/s12913-023-09985-5

 received in 2023-06-22, accepted in 2023-08-29,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundA significant and growing portion of the global burden of diseases is caused by neurological disorders. Tele-neurology has the potential to improve access to health care services and the quality of care, particularly in rural and underserved areas. The economic evaluation of the stepped wedge randomised controlled trial NeTKoH aims to ascertain the cost-effectiveness and cost-utility regarding the effects of a tele-neurologic intervention in primary care in a rural area in Germany.MethodsThis protocol outlines the methods used when conducting the trial-based economic evaluation of NeTKoH. The outcomes used in our economic analysis are all prespecified endpoints of the NeTKoH trial. Outcomes considered for the cost-utility and cost-effectiveness analyses will be quality-adjusted life years (QALYs) derived from the EQ-5D-5L, proportion of neurologic problems being solved at the GP’s office (primary outcome), hospital length-of-stay and number of hospital stays. Costs will be prospectively collected during the trial by the participating statutory health insurances, and will be analysed from a statutory health insurance perspective within the German health care system. This economic evaluation will be reported complying with the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) checklist.DiscussionThis within-trial economic evaluation relaying the costs and outcomes of an interdisciplinary tele-consulting intervention will provide high-quality evidence for cost-effectiveness and policy implications of a tele-neurological programme, including the potential for application in other rural areas in Germany or other jurisdictions with a comparable health system.Trial registrationGerman Clinical Trials Register (DRKS00024492), date registered: September 28, 2021.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

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