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Discrete event simulation of whole care pathways to estimate cost-effectiveness in Clinical Guidelines

Discrete event simulation of whole care pathways to estimate cost-effectiveness in Clinical Guidelines
Discrete event simulation of whole care pathways to estimate cost-effectiveness in Clinical Guidelines
For pragmatic reasons, cost-effectiveness analyses performed for NICE Clinical Guidelines use a piecemeal approach, evaluating only selected aspects of diagnosis, treatment or care. A Whole Pathway approach, considering diagnosis-to-death, may provide more realistic estimates of costs and health outcomes, taking account of the healthcare context and individual risk factors, history and choices for patients with long-term conditions. A patient-level DES model using the characteristics of 12,766 real patients was created to reflect the NICE guideline for Atrial Fibrillation. Of eight topics suggested for inclusion in an update of the guideline, the model was capable of fully answering four topics, and partially answering two topics. The remaining topics were beyond the scope of the model. The model was used by NICE in their recent update of the Atrial Fibrillation Clinical Guidelines.
1447-1458
Eatock, Julie
5d1b9e3e-7b83-4fb4-a4ce-b99f3e7b6b0d
Lord, Joanne
fd3b2bf0-9403-466a-8184-9303bdc80a9a
Trapero-Bertan, Marta
2d759559-2f48-4398-adfe-5454565d08fb
Anagnostou, Anastasia
7de4ca98-075a-451f-a96c-eb1bbede9796
Eatock, Julie
5d1b9e3e-7b83-4fb4-a4ce-b99f3e7b6b0d
Lord, Joanne
fd3b2bf0-9403-466a-8184-9303bdc80a9a
Trapero-Bertan, Marta
2d759559-2f48-4398-adfe-5454565d08fb
Anagnostou, Anastasia
7de4ca98-075a-451f-a96c-eb1bbede9796

Eatock, Julie, Lord, Joanne, Trapero-Bertan, Marta and Anagnostou, Anastasia (2016) Discrete event simulation of whole care pathways to estimate cost-effectiveness in Clinical Guidelines. 2015 Winter Simulation Conference (WSC), United States. 06 - 09 Dec 2015. pp. 1447-1458 . (doi:10.1109/WSC.2015.7408267).

Record type: Conference or Workshop Item (Paper)

Abstract

For pragmatic reasons, cost-effectiveness analyses performed for NICE Clinical Guidelines use a piecemeal approach, evaluating only selected aspects of diagnosis, treatment or care. A Whole Pathway approach, considering diagnosis-to-death, may provide more realistic estimates of costs and health outcomes, taking account of the healthcare context and individual risk factors, history and choices for patients with long-term conditions. A patient-level DES model using the characteristics of 12,766 real patients was created to reflect the NICE guideline for Atrial Fibrillation. Of eight topics suggested for inclusion in an update of the guideline, the model was capable of fully answering four topics, and partially answering two topics. The remaining topics were beyond the scope of the model. The model was used by NICE in their recent update of the Atrial Fibrillation Clinical Guidelines.

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More information

e-pub ahead of print date: December 2015
Published date: 18 February 2016
Venue - Dates: 2015 Winter Simulation Conference (WSC), United States, 2015-12-06 - 2015-12-09
Organisations: Faculty of Medicine

Identifiers

Local EPrints ID: 402733
URI: http://eprints.soton.ac.uk/id/eprint/402733
PURE UUID: 705fe102-0e78-47c3-8375-9f1f572aa75e
ORCID for Joanne Lord: ORCID iD orcid.org/0000-0003-1086-1624

Catalogue record

Date deposited: 15 Nov 2016 14:20
Last modified: 20 Jul 2019 00:34

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Contributors

Author: Julie Eatock
Author: Joanne Lord ORCID iD
Author: Marta Trapero-Bertan
Author: Anastasia Anagnostou

University divisions

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