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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2021
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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. |
format | Online Article Text |
id | pubmed-9090165 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
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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