Cost-Effectiveness of a Programme to Detect and Provide Better Care for Female Victims of Intimate Partner Violence
Objective: Primary care clinicians often fail to detect women who are victims of intimate partner violence (IPV). Our aim was to investigate the cost-effectiveness of a programme in primary care to detect and support such women. Methods: We developed a Markov model to estimate the cost-effectiveness...
| Main Authors: | , , , |
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| Format: | Journal Article |
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Sage Publications Ltd.
2010
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| Online Access: | http://hdl.handle.net/20.500.11937/20452 |
| _version_ | 1848750308892606464 |
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| author | Norman, Richard Spencer, A. Eldridge, S. Feder, G. |
| author_facet | Norman, Richard Spencer, A. Eldridge, S. Feder, G. |
| author_sort | Norman, Richard |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Objective: Primary care clinicians often fail to detect women who are victims of intimate partner violence (IPV). Our aim was to investigate the cost-effectiveness of a programme in primary care to detect and support such women. Methods: We developed a Markov model to estimate the cost-effectiveness of education and support for primary care clinicians to increase their identification of survivors of IPV and to refer them to a specialist advocacy agency or a psychologist with specialist skills. The programme was implemented in three general practices in the United Kingdom (with an additional practice acting as a control) and provided cost data and rates of identification and referral. Other cost data and the effectiveness of IPV advocacy came from published sources. Results: The model gave an incremental cost-effectiveness ratio (ICER) of approximately £2,450 per quality adjusted life year (QALY). Although the ratio increased in some of the sensitivity analyses, most were under a conventional willingness to pay threshold (£30,000/QALY).Conclusions: While there is considerable uncertainty in the underlying parameters, a training programme for primary care teams to increase identification and referral of women experiencing IPV is likely to be cost effective. |
| first_indexed | 2025-11-14T07:34:46Z |
| format | Journal Article |
| id | curtin-20.500.11937-20452 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T07:34:46Z |
| publishDate | 2010 |
| publisher | Sage Publications Ltd. |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-204522017-09-13T13:49:37Z Cost-Effectiveness of a Programme to Detect and Provide Better Care for Female Victims of Intimate Partner Violence Norman, Richard Spencer, A. Eldridge, S. Feder, G. Objective: Primary care clinicians often fail to detect women who are victims of intimate partner violence (IPV). Our aim was to investigate the cost-effectiveness of a programme in primary care to detect and support such women. Methods: We developed a Markov model to estimate the cost-effectiveness of education and support for primary care clinicians to increase their identification of survivors of IPV and to refer them to a specialist advocacy agency or a psychologist with specialist skills. The programme was implemented in three general practices in the United Kingdom (with an additional practice acting as a control) and provided cost data and rates of identification and referral. Other cost data and the effectiveness of IPV advocacy came from published sources. Results: The model gave an incremental cost-effectiveness ratio (ICER) of approximately £2,450 per quality adjusted life year (QALY). Although the ratio increased in some of the sensitivity analyses, most were under a conventional willingness to pay threshold (£30,000/QALY).Conclusions: While there is considerable uncertainty in the underlying parameters, a training programme for primary care teams to increase identification and referral of women experiencing IPV is likely to be cost effective. 2010 Journal Article http://hdl.handle.net/20.500.11937/20452 10.1258/jhsrp.2009.009032 Sage Publications Ltd. restricted |
| spellingShingle | Norman, Richard Spencer, A. Eldridge, S. Feder, G. Cost-Effectiveness of a Programme to Detect and Provide Better Care for Female Victims of Intimate Partner Violence |
| title | Cost-Effectiveness of a Programme to Detect and Provide Better Care for Female Victims of Intimate Partner Violence |
| title_full | Cost-Effectiveness of a Programme to Detect and Provide Better Care for Female Victims of Intimate Partner Violence |
| title_fullStr | Cost-Effectiveness of a Programme to Detect and Provide Better Care for Female Victims of Intimate Partner Violence |
| title_full_unstemmed | Cost-Effectiveness of a Programme to Detect and Provide Better Care for Female Victims of Intimate Partner Violence |
| title_short | Cost-Effectiveness of a Programme to Detect and Provide Better Care for Female Victims of Intimate Partner Violence |
| title_sort | cost-effectiveness of a programme to detect and provide better care for female victims of intimate partner violence |
| url | http://hdl.handle.net/20.500.11937/20452 |