Defining a staged-based process for economic and financial evaluations of mHealth programs

Mobile and wireless technology for health (mHealth) has the potential to improve health outcomes by addressing critical health systems constraints that impede coverage, utilization, and effectiveness of health services. To date, few mHealth programs have been implemented at scale and there remains a...

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Vydáno v:Cost effectiveness and resource allocation Ročník 15; číslo 1; s. 5 - 16
Hlavní autoři: LeFevre, Amnesty E., Shillcutt, Samuel D., Broomhead, Sean, Labrique, Alain B., Jones, Tom
Médium: Journal Article
Jazyk:angličtina
Vydáno: London BioMed Central 17.04.2017
BioMed Central Ltd
Springer Nature B.V
BMC
Témata:
Analysis
Bank accounts
Budgets
Capital expenditures
Comparative analysis
Control
Cost analysis
Cost control
Costs
Decision making
Digital health
Drug use
Economic evaluation
Financial evaluation
Health Administration
Health care costs
Health care expenditures
Health care reform
Health Economics
Health Services Research
Impact analysis
Intervention
Medicine
Medicine & Public Health
Methodology
mHealth
Pharmacoeconomics and Health Outcomes
Public Health
Quality
Quality of Life Research
Strategic planning
Telemedicine
Transfer payments
Wireless telephones
South Africa
mHealth
Costs
Digital health
Financial evaluation
Economic evaluation
ISSN:1478-7547, 1478-7547
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Popis
Shrnutí:Mobile and wireless technology for health (mHealth) has the potential to improve health outcomes by addressing critical health systems constraints that impede coverage, utilization, and effectiveness of health services. To date, few mHealth programs have been implemented at scale and there remains a paucity of evidence on their effectiveness and value for money. This paper aims to improve understanding among mHealth program managers and key stakeholders of how to select methods for economic evaluation (comparative analysis for determining value for money) and financial evaluation (determination of the cost of implementing an intervention, estimation of costs for sustaining or expanding an intervention, and assessment of its affordability). We outline a 6 stage-based process for selecting and integrating economic and financial evaluation methods into the monitoring and evaluation of mHealth solutions including (1) defining the program strategy and linkages with key outcomes, (2) assessment of effectiveness, (3) full economic evaluation or partial evaluation, (4) sub-group analyses, (5) estimating resource requirements for expansion, (6) affordability assessment and identification of models for financial sustainability. While application of these stages optimally occurs linearly, finite resources, limited technical expertise, and the timing of evaluation initiation may impede this. We recommend that analysts prioritize economic and financial evaluation methods based on programmatic linkages with health outcomes; alignment with an mHealth solution’s broader stage of maturity and stage of evaluation; overarching monitoring and evaluation activities; stakeholder evidence needs; time point of initiation; and available resources for evaluations.
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ISSN:1478-7547
1478-7547
DOI:10.1186/s12962-017-0067-6