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Title: Determining possibility of using evidence-based information in decision making in health care on the example of cost-effectiveness analysis of methods used in smoking cessation

Author:

Bała, Małgorzata

Date:

2005

Type:

Praca doktorska

Abstract:

The process of using evidence-based information in decision making in health care was analysed. Literature examples illustrate the principles of rational actions in the health care, barriers to evidencebased information use and possibilities of overcoming them with the use among other social marketing methods. The results of critically appraised systematic reviews and meta-analyses were used to determine the efficacy of methods used m smoking cessation. In economic analysis direct medical costs of smoking-related diseases coming from published data and from National Health Fund were used. Long-term health (life years saved) and economic consequences of smoking cessation were estimated on the basis of specially developed Markov model. The results of incremental cost-effectiveness analysis indicate that brief advice in the treatment of tobacco dependence, compared to no advice, could be the most cost-effective treatment in health care. More intensive non-pharmacological and pharmacological methods could also be beneficial, but as they are more expensive, in people with lower baseline risk the cost of health gain unit could be above accepted cost-effectiveness threshold. Properly conducted efficacy and cost-effectiveness analyses should support rational decision making in health care in Poland; therefore establishing professional and independent institution devoted to dealing with these task seems to be very important.

Place of publishing:

Kraków

Level of degree:

2 - studia doktoranckie

Degree discipline:

zdrowie publiczne

Degree grantor:

Wydział Nauk o Zdrowiu

Promoter:

Włodarczyk, Cezary W

Date issued:

2005

Identifier:

oai:dl.cm-uj.krakow.pl:1245

Call number:

ZB-102668

Language:

pol

Access rights:

tylko w bibliotece

Subject and keywords:

critical appraisal efficacy analysis smoking cost-effectiveness analysis rational decision making in health care

Object collections:

Last modified:

Feb 14, 2022

In our library since:

Nov 21, 2012

Number of object content hits:

10

Number of object content views in PDF format

0

All available object's versions:

http://dl.cm-uj.krakow.pl:8080/publication/1245

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ZB-102668 Feb 14, 2022

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