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Analyses of the return on investment of public health interventions: a scoping review and recommendations for future studies

Return on investment (ROI) analysis is increasingly being used for evaluating the value for money of public health interventions. Given its potential role for informing health policies, it is important that there is a more comprehensive understanding of ROI analysis within the global health field. T...

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Autores principales: Turner, Hugo C, Hori, Yoshiaki, Revill, Paul, Rattanavipapong, Waranya, Arai, Ko, Nonvignon, Justice, Jit, Mark, Teerawattananon, Yot
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10471881/
https://www.ncbi.nlm.nih.gov/pubmed/37648275
http://dx.doi.org/10.1136/bmjgh-2023-012798
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author Turner, Hugo C
Hori, Yoshiaki
Revill, Paul
Rattanavipapong, Waranya
Arai, Ko
Nonvignon, Justice
Jit, Mark
Teerawattananon, Yot
author_facet Turner, Hugo C
Hori, Yoshiaki
Revill, Paul
Rattanavipapong, Waranya
Arai, Ko
Nonvignon, Justice
Jit, Mark
Teerawattananon, Yot
author_sort Turner, Hugo C
collection PubMed
description Return on investment (ROI) analysis is increasingly being used for evaluating the value for money of public health interventions. Given its potential role for informing health policies, it is important that there is a more comprehensive understanding of ROI analysis within the global health field. To address this gap in the literature, we conducted a scoping review of recent research articles reporting an ROI metric for a health intervention within the public sector in any country setting. The database search was limited to literature published in English and studies published between 1 January 2018 and 14 June 2021. Uses and settings where the ROI metric is being applied, key methodological features of the calculations and the types of economic benefits included were extracted. 118 relevant studies were included within this scoping review. We found that ROI analyses of health interventions differed between those that only included fiscal savings (such as prevented medical expenses) and those which incorporated a wider range of benefits (such as monetised health benefits). This highlights the variation in the definition of ROI analyses and supports the finding that ROI analyses are used for a range of different research questions/purposes within the healthcare sector. We also found that the methodologies used in ROI calculations were inconsistent and often poorly reported. This review demonstrates that there is notable variation in the methodology surrounding recent ROI calculations of healthcare interventions, as well as the definition of ROI analysis. We recommend that ROI metrics should be carefully interpreted before they are used to inform policy decisions regarding the allocation of healthcare resources. To improve the consistency of future studies, we also set out recommended use cases for ROI analysis and a reporting checklist.
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spelling pubmed-104718812023-09-02 Analyses of the return on investment of public health interventions: a scoping review and recommendations for future studies Turner, Hugo C Hori, Yoshiaki Revill, Paul Rattanavipapong, Waranya Arai, Ko Nonvignon, Justice Jit, Mark Teerawattananon, Yot BMJ Glob Health Original Research Return on investment (ROI) analysis is increasingly being used for evaluating the value for money of public health interventions. Given its potential role for informing health policies, it is important that there is a more comprehensive understanding of ROI analysis within the global health field. To address this gap in the literature, we conducted a scoping review of recent research articles reporting an ROI metric for a health intervention within the public sector in any country setting. The database search was limited to literature published in English and studies published between 1 January 2018 and 14 June 2021. Uses and settings where the ROI metric is being applied, key methodological features of the calculations and the types of economic benefits included were extracted. 118 relevant studies were included within this scoping review. We found that ROI analyses of health interventions differed between those that only included fiscal savings (such as prevented medical expenses) and those which incorporated a wider range of benefits (such as monetised health benefits). This highlights the variation in the definition of ROI analyses and supports the finding that ROI analyses are used for a range of different research questions/purposes within the healthcare sector. We also found that the methodologies used in ROI calculations were inconsistent and often poorly reported. This review demonstrates that there is notable variation in the methodology surrounding recent ROI calculations of healthcare interventions, as well as the definition of ROI analysis. We recommend that ROI metrics should be carefully interpreted before they are used to inform policy decisions regarding the allocation of healthcare resources. To improve the consistency of future studies, we also set out recommended use cases for ROI analysis and a reporting checklist. BMJ Publishing Group 2023-08-30 /pmc/articles/PMC10471881/ /pubmed/37648275 http://dx.doi.org/10.1136/bmjgh-2023-012798 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Original Research
Turner, Hugo C
Hori, Yoshiaki
Revill, Paul
Rattanavipapong, Waranya
Arai, Ko
Nonvignon, Justice
Jit, Mark
Teerawattananon, Yot
Analyses of the return on investment of public health interventions: a scoping review and recommendations for future studies
title Analyses of the return on investment of public health interventions: a scoping review and recommendations for future studies
title_full Analyses of the return on investment of public health interventions: a scoping review and recommendations for future studies
title_fullStr Analyses of the return on investment of public health interventions: a scoping review and recommendations for future studies
title_full_unstemmed Analyses of the return on investment of public health interventions: a scoping review and recommendations for future studies
title_short Analyses of the return on investment of public health interventions: a scoping review and recommendations for future studies
title_sort analyses of the return on investment of public health interventions: a scoping review and recommendations for future studies
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10471881/
https://www.ncbi.nlm.nih.gov/pubmed/37648275
http://dx.doi.org/10.1136/bmjgh-2023-012798
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