EVDE BAKIM HİZMETLERİNE YÖNELİK YAPILAN MALİYET ETKİLİLİK ÇALIŞMALARINA GENEL BİR BAKIŞ

Öz

Dünyada ve ülkemizde yaşlı nüfus ve kronik hastalıklar gün geçtikçe artmakta iken sağlık hizmetlerine kullanılan kaynaklar sınırlı hale gelmektedir. Sınırlı hale gelen kaynakların etkin bir şekilde kullanılmasında ekonomik değerlendirme yöntemlerinden yararlanmanın önemi artmaktadır. Ekonomik değerlendirme yöntemleri birçok gelişmiş ülkedeki sağlık sisteminde, karar verme mekanizmalarında son on yıldır yaygın olarak kullanılmaktadır. Ekonomik değerlendirme yöntemlerinden biri olan maliyet etkililik çalışmaları, politika kararlarını vermede önemli bir yere sahiptir. Bu çalışma, 2010-2015 yılları arasında yurt dışında yapılan evde bakıma yönelik maliyet etkililik çalışmalarının derlenmesi ile ülkemizde bu alanda yapılacak olan çalışmalara ışık tutmak ve bu bağlamda alınacak politika kararlarına yol göstermek amacıyla yapılmıştır.
Anahtar Sözcükler: Maliyet Etkililik, Evde Bakım, Sağlık Ekonomisi

Kaynakça

1. Beck A.M., Gøgsig Christensen, A., Stenbæk Hansen, B., Damsbo-Svendsen, S., Kreinfeldt Skovgaard Mølle,r T., Boll Hansen, E. and et al. (2014). Study protocol: cost-effectiveness of multidisciplinary nutritional support for undernutrition in older adults in nursing home and home-care: cluster randomized controlled trial. Nutr J., 28(13) 86.
2. Billups, S., Moore, L.R., Olson, K. and Magid, D.J. (2014). Cost-effectiveness Evaluation of a Home Blood Pressure Monitoring Program. The American journal of managed care, 20 (9), 380-387.
3. Boyne, J.J., Van, A.D., Gorgels, A.P., Steuten, L.M, De Weerd, G., Kragten, J. and et al. (2013). Cost-effectiveness analysis of telemonitoring versus usual care in patients with heart failure: the TEHAF-study. Journal of Telemed Telecare, 19 (5) 242-248.
4. Chanda, P, Hamainza, B., Moonga, H.B., Chalwe, V., Banda, P. and Pagnoni, F. (2011). Relative costs and effectiveness of treating uncomplicated malaria in two rural districts in Zambia: implications for nationwide scale-up of home-based management. Malar J., 9(10), 159.
5. Chen, Y.H., Ho, Y.L., Huang, H.C., Wu, H.W., Lee, C.Y., Hsu, T.P. and et al. (2010). Assessment of the clinical outcomes and cost-effectiveness of the management of systolic heart failure in Chinese patients using a home-based intervention. J Int Med Res., 38(1),242-252.
6. Corrieri, S., Heider, D., Riedel-Heller, S.G., Matschinger, H. and König, H.H. (2011). Cost-effectiveness of fall prevention programs based on home visits for seniors aged over 65 years: a systematic review. Int Psychogeriatr., 23(5),711-723.
7. Çalışkan, Z. (2009). Sağlık hizmetlerinde önceliklerin belirlenmesinde ekonomik değerlendirme yöntemi olarak maliyet-etkililik analizi. Süleyman Demirel Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 14(2), 311-332.
8. Doğan B.G., Subaşı, N. (2006). Halk Sağlığı Temel Bilgiler. Hacettepe Üniversitesi Yayınları. Ankara,

9. Doig, E., Fleming, J,, Kuipers, P., Cornwell, P. and Khan, A. (2011). Goal-directed outpatient rehabilitation following TBI: a pilot study of programme effectiveness and comparison of outcomes in home and day hospital settings. Brain Inj., 25(11), 1114-1125.
10. Ellis, E.N., Blaszak, C., Wright, S. and Van Lierop, A. (2012). Effectiveness of home visits to pediatric peritoneal dialysis patients. Perit Dial Int., 32(4),419-423.
11. Fidan, D., Ünal, B., Demiral, Y. (2003). Sağlığa ilişkin yaşam kalitesi kavramı ve ölçüm yöntemleri. Sağlık ve Toplum Dergisi, 3, 3-8.
12. Haesum, L.K., Soerensen, N., Dinesen, B., Nielsen, C., Grann, O., Hejlesen, O., and et al. (2012). Telemed J E Health, 18(9), 688-692.
13. Holland, A.E., Mahal, A., Hill, C.J., Lee, A.L., Burge, A.T., Moore, R., and et al.(2013). Benefits and costs of home-based pulmonary rehabilitation in chronic obstructive pulmonary disease - a multi-centre randomised controlled equivalence trial, BMC Pulm Med., 8 (13), 57.
14. Isetta, V., Lopez-Agustina, C., Lopez-Bernal, E., Amat, M., Vila, M., Valls, C.,and et al. (2013). Cost-effectiveness of a new internet-based monitoring tool for neonatal post-discharge home care. J Med Internet Res. 18(15), 2.
15. Joo, E.H., Rha, S.Y., Ahn, J.B. and Kang, H.Y. (2011). Economic and patient-reported outcomes of outpatient home-based versus inpatient hospital-based chemotherapy for patients with colorectal cancer. Support Care Cancer, 9(7),971-978.
16. Jutkowitz, E., Gitlin, L.N., Pizzi, L.T. and Lee, Eç, Dennis, M.P. (2012). Cost effectiveness of a home-based intervention that helps functionally vulnerable older adults age in place at home. J Aging Res.
17. Kim, K.M. and Chun, B.Y. (2011). Effectiveness of home-based pencil push-ups (HBPP) for patients with symptomatic convergence insufficiency. Korean J Ophthalmol., 25(3),185-188.
18. Kim, S.S., Kim, E.J., Cheon, J.Y. Chung, S.K., Moon, S. and Moon, K.H. (2012). The effectiveness of home-based individual tele-care intervention for stroke caregivers in South Korea. Int Nurs Rev. 59(3), 369-375.
19. Kimani-Murage, E.W., Kyobutungi, C., Ezeh, A.C., Wekesah, F., Wanjohi, M., Muriuki, P., and et al. (2013). Effectiveness of personalised, home-based nutritional counselling on infant feeding practices, morbidity and nutritional outcomes among infants in Nairobi slums: study protocol for a cluster randomised controlled trial. Trials. 27(14), 445.
20. Klug, G., Hermann, G., Fuchs-Nieder, B., Panzer, M., Haider-Stipacek, A., Zapotoczky, H.G. and et al. (2010). Effectiveness of home treatment for elderly people with depression: randomised controlled trial. Br J Psychiatry., 197(6), 463-467.
21. Lan, W., Zhao, F., Li, Z., Zeng, J., Liu, W., Lu, J., and et al. (2012). Validation and cost-effectiveness of a home-based screening system for amblyopia. Ophthalmology, 119(6),1265-1271.
22. Lovibond, K., Jowett, S., Barton, P., Caulfield, M., Heneghan, C., Hobbs, F.D., and et al. (2011). Cost-effectiveness of options for the diagnosis of high blood pressure in primary care: a modelling study. Lancet., 1, 378.
23. Lubell, Y., Mills, A.J., Whitty, C.J. and Staedke, S.G. (2010). An economic evaluation of home management of malaria in Uganda: an interactive Markov model. PLoS One. 5(8).
24. Madsen, L.B., Christiansen, T., Kirkegaard, P. and Pedersen, E.B. (2011). Economic evaluation of home blood pressure telemonitoring: a randomized controlled trial, Blood Press., 20(2), 117-125.
25. Masa, J.F., Corral, J., Pereira, R., Duran-Cantolla, J., Cabello, M., Hernández-Blasco, and et al. (2013). Effectiveness of sequential automatic-manual home respiratory polygraphy scoring. Eur Respir J., 41(4), 879-887.
26. Masa, J.F., Duran-Cantolla, J., J2, Capote F., Cabello M., Abad J., Garcia-Rio F. and et al. (2014). Effectiveness of home single-channel nasal pressure for sleep apnea diagnosis. Chest, 145(3), 592.
27. McCaffrey, N., Aga,r M., Harlum, J., Karnon, J., Currow, D. and Eckermann, S. (2013). Is home-based palliative care cost-effective? An economic evaluation of the Palliative Care Extended Packages at Home (PEACH) pilot. BMJ Support Palliat Care, 3 (4), 431-435.
28. McFarlane, P. and Komenda, P. (2011). Economic considerations in frequent home hemodialysis. Semin Dial., 24(6),678-683.
29. Mdege, N.D. and Chindove, S. (2013). Bringing antiretroviral therapy (ART) closer to the end-user through mobile clinics and home-based ART: systematic review shows more evidence on the effectiveness and cost effectiveness is needed. Int J Health Plann Manage., 22.
30. Moraes, E., Campos, G.M., Figlie, N.B., Laranjeira, R. and Ferraz, M.B. (2010). Cost-effectiveness of home visits in the outpatient treatment of patients with alcohol dependence. Eur Addict Res., 16 (2),69-77.
31. Mulogo, E.M., Batwala, V., Nuwaha, F., Aden, A.S. and Baine, O.S. (2013). Cost effectiveness of facility and home based HIV voluntary counseling and testing strategies in rural Uganda. African Health Scine, 13(2), 423-429.
32. Müller, D., Borsi, L., Stracke, C., Stock and S. and Stollenwerk, B. (2015).Cost-effectiveness of a multifactorial fracture prevention program for elderly people admitted to nursing homes. The European Journal of Health Economics, 16(5), 517-527.
33. Nieto, E., López, L., del Corral, H., Marín, D., Lopera, L.D., Benjumea, D., and et al. (2012). Revista Panamericana de Salud Pública.32 (3), 178-184.
34. Nonvignon, J., Chinbuah, M.A., Gyapong, M., Abbey, M., Awini, E., Gyapong, J.O., and et al. (2012). Is home management of fevers a cost-effective way of reducing under-five mortality in Africa? The case of a rural Ghanaian District. Trop Med Int Health. 17(8), 951-957.
35. Nurmagambetov, T.A., Barnett, S.B., Jacob, V., Chattopadhyay, S.K., Hopkins, D.P., Crocker, D.D., and et al. (2011). Economic value of home-based, multi-trigger, multicomponent interventions with an environmental focus for reducing asthma morbidity a community guide systematic review. Am J Prev Med., 41(2),33-47.
36. Okumuş, O. (2008). On Grup Hastalık İçin Maliyet Etkililik Çalışmalarının Sistematik İncelenmesi. Başkent Üniversitesi Sosyal Bilimler Enstitüsü, Yüksek Lisans Tezi, 15.
37. Omboni, S., Gazzola, T., Carabelli, G. and Parati, G. (2013). Clinical usefulness and cost effectiveness of home blood pressure telemonitoring: meta-analysis of randomized controlled studies. J Hypertens., 31 (3) 455-467.
38. Pace, A., Di Lorenzo, C., Capon, A., Villani, V., Benincasa, D., Guariglia, L., and et al. (2012). Quality of care and rehospitalization rate in the last stage of disease in brain tumor patients assisted at home: a cost effectiveness study. J Palliat Med., 15(2),225-227.
39. Pandor, A., Thokala, P., Gomersall, T., Baalbaki, H., Stevens, J.W., Wang, J., and et al. (2013). Home telemonitoring or structured telephone support programmes after recent discharge in patients with heart failure: systematic review and economic evaluation. Health Technol Assess., 17(32),1-207.
40. Parker, G., Spiers, G., Gridley, K., Atkin, K., Birks, Y., Lowson, K. and et al. (2013). Systematic review of international evidence on the effectiveness and costs of paediatric home care for children and young people who are ill. Child Care Health Dev., 39(1), 1-19.
41. Rifkin, D.E., Abdelmalek, J.A., Miracle, C.M., Low, C., Barsotti, R., Rios, P., and et al. (2013). Linking clinic and home: a randomized, controlled clinical effectiveness trial of real-time, wireless blood pressure monitoring for older patients with kidney disease and hypertension. Blood Press Monit., 18(1) 8-15.
42. Smith, S., Brick, A., O'Hara, S. and Normand, C. (2014). Evidence on the cost and cost-effectiveness of palliative care: a literature review. Palliat Med., 28(2), 130-150.
43. Sritipsukho, P., Riewpaiboon, A., Chaiyawat, P. and Kulkantrakorn, K. (2010). Cost-effectiveness analysis of home rehabilitation programs for Thai stroke patients. J Med Assoc Thai., 93 (7), 262-270.
44. Tappenden, P., Campbell, F., Rawdin, A., Wong, R. and Kalita, N. (2012). The clinical effectiveness and cost-effectiveness of home-based, nurse-led health promotion for older people: a systematic review. 16(20),1-72.
45. Thokala, P., Baalbaki, H., Brennan, A., Pandor, A., Stevens, J.W., Gomersall, T., and et al. (2013). Telemonitoring after discharge from hospital with heart failure: cost-effectiveness modelling of alternative service designs. BMJ Open, 18 (3),9.
46. Udsen, F.W., Hejlesen, O. and Ehlers, L.H. (2014). A systematic review of the cost and cost-effectiveness of telehealth for patients suffering from chronic obstructive pulmonary disease. Journal of Telemedicine and Telecare, 22 (3).
47. Wade, V.A., Karnon, J., Eliott, J.A. and Hiller, J.E. (2012). Home videophones ımprove direct observation in tuberculosis treatment: a mixed methods evaluation, PLoS One, 7(11).
48. Whittaker F. and Wade, V. (2014). The costs and benefits of technology-enabled, home-based cardiac rehabilitation measured in a randomised controlled trial. Journal of Telemedicine and Telecare, 20(7), 419-422.
49. Yardley, L., Barker, F., Muller, I., Turner, D., Kirby, S., Mullee, M., and et al. (2012). Clinical and cost effectiveness of booklet based vestibular rehabilitation for chronic dizziness in primary care: single blind, parallel group, pragmatic, randomised controlled trial.BMJ., 6.