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Cost-effectiveness of exercise referral schemes: a systematic review of health economic studies

BACKGROUND: This systematic review aimed to provide an overview of the existing literature on cost-effectiveness of exercise referral schemes (ERSs). METHODS: A systematic search was performed in MEDLINE, EMBASE, EconLit, Web of Science and PsycINFO. Main inclusion criteria were: (1) insufficiently...

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Autores principales: Werbrouck, Amber, Schmidt, Masja, Putman, Koen, Seghers, Jan, Simoens, Steven, Verhaeghe, Nick, Annemans, Lieven
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9090165/
https://www.ncbi.nlm.nih.gov/pubmed/34864937
http://dx.doi.org/10.1093/eurpub/ckab189
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author Werbrouck, Amber
Schmidt, Masja
Putman, Koen
Seghers, Jan
Simoens, Steven
Verhaeghe, Nick
Annemans, Lieven
author_facet Werbrouck, Amber
Schmidt, Masja
Putman, Koen
Seghers, Jan
Simoens, Steven
Verhaeghe, Nick
Annemans, Lieven
author_sort Werbrouck, Amber
collection PubMed
description BACKGROUND: This systematic review aimed to provide an overview of the existing literature on cost-effectiveness of exercise referral schemes (ERSs). METHODS: A systematic search was performed in MEDLINE, EMBASE, EconLit, Web of Science and PsycINFO. Main inclusion criteria were: (1) insufficiently active people; (2) ERSs and (3) full health economic evaluations. No publication year limits were applied. The methodological quality was assessed independently by two reviewers using the Consensus Health Economic Criteria (CHEC) checklist. RESULTS: Fifteen eligible publications were retrieved, presenting results of 12 different studies. Compared with usual care, ERSs were found to be cost-effective in a majority of the analyses, but with modest health gains and costs per individual. These cost-effectiveness results were also sensitive to small changes in input parameters. Two studies found that ERSs combined with a pedometer/accelerometer are cost-effective, compared with usual ERS practice. Two other studies found that an ERS with phone support and an ERS with face-to-face support might be equally effective, with similar costs. CONCLUSION: Although the literature demonstrated that ERSs could be cost-effective compared with usual care, these results were not robust. Based on a small number of studies, ERSs could be optimized by using tracking devices, or by providing a choice to the participants about the delivery mode. There is need for clarity on the effectiveness of and attendance to ERS, as more certainty about these key input parameters will strengthen health-economic evidence, and thus will allow to provide a clearer message to health policy-makers.
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spelling pubmed-90901652022-05-11 Cost-effectiveness of exercise referral schemes: a systematic review of health economic studies Werbrouck, Amber Schmidt, Masja Putman, Koen Seghers, Jan Simoens, Steven Verhaeghe, Nick Annemans, Lieven Eur J Public Health Physical Activity BACKGROUND: This systematic review aimed to provide an overview of the existing literature on cost-effectiveness of exercise referral schemes (ERSs). METHODS: A systematic search was performed in MEDLINE, EMBASE, EconLit, Web of Science and PsycINFO. Main inclusion criteria were: (1) insufficiently active people; (2) ERSs and (3) full health economic evaluations. No publication year limits were applied. The methodological quality was assessed independently by two reviewers using the Consensus Health Economic Criteria (CHEC) checklist. RESULTS: Fifteen eligible publications were retrieved, presenting results of 12 different studies. Compared with usual care, ERSs were found to be cost-effective in a majority of the analyses, but with modest health gains and costs per individual. These cost-effectiveness results were also sensitive to small changes in input parameters. Two studies found that ERSs combined with a pedometer/accelerometer are cost-effective, compared with usual ERS practice. Two other studies found that an ERS with phone support and an ERS with face-to-face support might be equally effective, with similar costs. CONCLUSION: Although the literature demonstrated that ERSs could be cost-effective compared with usual care, these results were not robust. Based on a small number of studies, ERSs could be optimized by using tracking devices, or by providing a choice to the participants about the delivery mode. There is need for clarity on the effectiveness of and attendance to ERS, as more certainty about these key input parameters will strengthen health-economic evidence, and thus will allow to provide a clearer message to health policy-makers. Oxford University Press 2021-12-04 /pmc/articles/PMC9090165/ /pubmed/34864937 http://dx.doi.org/10.1093/eurpub/ckab189 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of the European Public Health Association. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Physical Activity
Werbrouck, Amber
Schmidt, Masja
Putman, Koen
Seghers, Jan
Simoens, Steven
Verhaeghe, Nick
Annemans, Lieven
Cost-effectiveness of exercise referral schemes: a systematic review of health economic studies
title Cost-effectiveness of exercise referral schemes: a systematic review of health economic studies
title_full Cost-effectiveness of exercise referral schemes: a systematic review of health economic studies
title_fullStr Cost-effectiveness of exercise referral schemes: a systematic review of health economic studies
title_full_unstemmed Cost-effectiveness of exercise referral schemes: a systematic review of health economic studies
title_short Cost-effectiveness of exercise referral schemes: a systematic review of health economic studies
title_sort cost-effectiveness of exercise referral schemes: a systematic review of health economic studies
topic Physical Activity
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9090165/
https://www.ncbi.nlm.nih.gov/pubmed/34864937
http://dx.doi.org/10.1093/eurpub/ckab189
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