Primary care system-level training and support programme for the secondary prevention of domestic violence and abuse: a cost-effectiveness feasibility model.
BMJ Open
; 14(1): e071300, 2024 01 06.
Article
em En
| MEDLINE
| ID: mdl-38184310
ABSTRACT
OBJECTIVES:
This study aimed to evaluate the prospective cost-effectiveness of the Identification and Referral to Improve Safety plus (IRIS+) intervention compared with usual care using feasibility data derived from seven UK general practice sites.METHOD:
A cost-utility analysis was conducted to assess the potential cost-effectiveness of IRIS+, an enhanced model of the UK's usual care. IRIS+ assisted primary care staff in identifying, documenting and referring not only women, but also men and children who may have experienced domestic violence/abuse as victims, perpetrators or both. A perpetrator group programme was not part of the intervention per se but was linked to the IRIS+ intervention via a referral pathway and signposting. A Markov model was constructed from a societal perspective to estimate mean incremental costs and quality-adjusted life years (QALYs) of IRIS+ compared with to usual care over a 10-year time horizon.RESULTS:
The IRIS+ intervention saved £92 per patient and produced QALY gains of 0.003. The incremental net monetary benefit was positive (£145) and the IRIS+ intervention was cost-effective in 55% of simulations at a cost-effectiveness threshold of £20 000 per QALY.CONCLUSION:
The IRIS+ intervention could be cost-effective or even cost saving from a societal perspective in the UK, though there are large uncertainties, reflected in the confidence intervals and simulation results.Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Violência Doméstica
Tipo de estudo:
Health_economic_evaluation
/
Observational_studies
Limite:
Child
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Female
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Humans
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Male
Idioma:
En
Revista:
BMJ Open
Ano de publicação:
2024
Tipo de documento:
Article