please see attached article for critical critically appraise the assigned Cost-effectiveness analysis of acollaborative care  

programme for depression in primary care 

 you will critically appraise the assigned article on the cost-effectiveness of implementing a program in the community. Use the CASP Economic Evaluation Checklist to guide your critical appraisal and the development of your responses to the assignment questions.

 

After each of the screening questions, answer yes, no, partially, or cant tell and briefly explain your answer. Do not cut and paste from the article. For example, in question 1, do not say yes and then give the question. Say, the question is clear (or not clear) becauseDo not write out the options. Comment on the adequacy or inadequacy. For example, you could say – the authors compare two options, however, they did not consider XXXXX, which is an important aspect of this issue.

 

Reference your responses with citations form your study article Use alternative references (with in last 5 years only) where appropriate

Make sure you answer each bullets and sub bullets of  HINT

 

(A) Is the economic evaluation valid?

 

Screening Questions

 

1. Was a well-defined question posed?       

 

HINT: Is it clear what the authors are trying to achieve?

_What is the perspective?

_How many options are compared?

_Are both costs and consequences considered?

_What is the time horizon?

 

ANSWER:

 

 

 

2. Was a comprehensive description of the competing alternatives given?

 

HINT: Is there a clear decision tree (or similar given):

_Can you tell who did what, to whom, where and how often?

 

ANSWER:

 

 

Is it worth continuing?

 

ANSWER:

 

Detailed questions

 

3. Does the paper provide evidence that the program would be effective (i.e. would the program do more good than harm)?

 

HINT: Consider:

_if an RCT or systematic review was used; if not consider how strong the evidence was

 

(Economic evaluations frequently have to integrate different types of knowledge stemming from different study designs)

 

ANSWER:

 

 

 

 

4. Were the effects of the intervention identified, measured and valued appropriately?

 

HINT: Effects can be measured in natural units (e.g. years of life) or more complex units (e.g. years adjusted for quality of life such as QALYs) or monetary equivalents of the benefit gained

(e.g. $).

 

ANSWER:

 

 

(B) How were consequences and costs assessed and compared?

 

5. Were all important and relevant resources required and health outcome costs for each alternative identified, measured in appropriate units and valued credibly?

 

HINT: Identified?

_Remember the perspective being taken

 

HINT: Measured accurately in appropriate units prior to evaluation?

_Appropriate units may be hours of nursing time, Number of physician visits, years-of-life gained etc.

 

HINT: Valued credibly?

_Are the values realistic?

_How have they been derived?

_Have opportunity costs been considered?

 

ANSWER:

 

 

 

6. Were costs and consequences adjusted for different times at which they occurred

(discounting)?

 

ANSWER:

 

 

 

7. What were the results of the evaluation?

 

HINT: Consider

_What is the bottom line?

_What units were used (e.g. cost/life year gained, Cost/QALY, net benefit)?

 

ANSWER:

 

 

 

8. Was an incremental analysis of the consequences and cost of alternatives performed?

 

ANSWER:

 

 

 

9. Was an adequate sensitivity analysis performed?

 

HINT: Consider

_If all the main areas of uncertainty were considered by changing the estimate of the variable and

_looking at how this would change the result of the economic evaluation

 

ANSWER:

 

 

 

(C) Will the results help in purchasing for local people (NY)?

 

Your setting:

 

10. Is the program likely to be equally effective in your context or setting?

 

HINT: Consider whether

_the patients covered by the review could be sufficiently different to your population to cause

concern

_your local setting is likely to differ much from that of the review

 

ANSWER:

 

 

11. Are the costs translatable to your setting?

 

ANSWER:

 

 

12. Is it worth doing in your setting?

 

ANSWER:

 

 

 

Reference your responses with citations form your study article
Use alternative references(last 5 years only) where appropriate

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