Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/115695
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Type: Journal article
Title: A health economic model for the development and evaluation of innovations in aged care: an application to consumer-directed care-study protocol
Author: Ratcliffe, J.
Lancsar, E.
Luszcz, M.
Crotty, M.
Gray, L.
Paterson, J.
Cameron, I.D.
Citation: BMJ Open, 2014; 4(6):e005788-1-e005788-6
Publisher: BMJ Journals
Issue Date: 2014
ISSN: 2044-6055
2044-6055
Statement of
Responsibility: 
Julie Ratcliffe, Emily Lancsar, Mary Luszcz, Maria Crotty, Len Gray, Jan Paterson, Ian D Cameron
Abstract: Introduction: Consumer-directed care is currently being embraced within Australia and internationally as a means of promoting autonomy and choice in the delivery of health and aged care services. Despite its wide proliferation little research has been conducted to date to assess the views and preferences of older people for consumer-directed care or to assess the costs and benefits of such an approach relative to existing models of service delivery. Methods and analysis: A comprehensive health economic model will be developed and applied to the evolution, implementation and evaluation of consumer-directed care in an Australian community aged care setting. A mixed methods approach comprising qualitative interviews and a discrete choice experiment will determine the attitudes and preferences of older people and their informal carers for consumer-directed care. The results of the qualitative interviews and the discrete choice experiment will inform the introduction of a new consumer-directed care innovation in service delivery. The cost-effectiveness of consumer-directed care will be evaluated by comparing incremental changes in resource use, costs and health and quality of life outcomes relative to traditional services. The discrete choice experiment will be repeated at the end of the implementation period to determine the extent to which attitudes and preferences change as a consequence of experience of consumer-directed care. The proposed framework will have wide applicability in the future development and economic evaluation of new innovations across the health and aged care sectors. Ethics and dissemination: The study is approved by Flinders University Social and Behavioural Research Ethics Committee (Project No. 6114/SBREC). Findings from the qualitative interviews, discrete choice experiments and the economic evaluation will be reported at a workshop of stakeholders to be held in 2015 and will be documented in reports and in peer reviewed journal articles.
Keywords: Models, Economic
Rights: Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http:// creativecommons.org/licenses/by-nc/4.0/
DOI: 10.1136/bmjopen-2014-005788
Grant ID: http://purl.org/au-research/grants/arc/LP110200079
Published version: http://dx.doi.org/10.1136/bmjopen-2014-005788
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