Evaluation of IT modernisation in the NHS - NETSCC

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Report to SDO for NCRS ProjectReview of Economic ImplicationsTable 6: continuedAuthorAlanene et al.1998Study Year(s)Country (Currency?)1994Finland (FIM)IT Intervention Evaluation Design Health Care settingCR – mini-PACSCost analysis using activitybasedaccountingMid-size general hospitalBryan et al.2000Bryan et al.199991/92-96/97UK (GBP)1996-1997UK (GBP)PACSPACSAnalysis of costs andbenefitsBefore and afterCosts and savings analysisTime series trend analysisSecondary Care HospitalSecondary Care HospitalChan et al.2002Maass et al.20011998-2001USA (USD)1998Finland (FIN)PACSPACSReturn on InvestmentBefore and afterassessment of productivityand satisfactionAnalysis of costs – beforeand afterHospitalUniversity Central hospitalSiegel et al.1998(also pub. 1998 and 2003)1993-1996USA (USD)PACSAnalysis of cost-offsets andbenefitBefore and afterMedical CentreWanger et al.20021995-2000USA (USD)PACSAssessment of benefitsBefore and AfterDepartment of radiology32
Report to SDO for NCRS ProjectReview of Economic ImplicationsTable 7: Results of the quality assessment of included studiesWas a well-defined question posed in answerableform?Was a comprehensive description of the competingalternative given?Was the effectiveness of the programme or servicesestablished (e.g. randomized, controlled clinical trial,overview of clinical literature etc.)?Were all the important and relevant costs andconsequences of each alternative identified?Were costs and consequences measured accuratelyin appropriate physical units (e.g. hours of nursingtime, number of physician visits, lost work-days)?Ref. 49 53 61 57 56 50 51 67 36 62 63 58 52 65 66 64Y Y Y Y Y Y Y Y Y Y Y Y/NC Y/NC Y Y YY NC Y Y Y Y NC Y Y NC Y Y NC Y NC NCY Y Y Y Y NC NC Y Y Y Y Y NC Y Y YP Y Y Y Y Y Y P P Y Y Y P Y Y YP Y NC Y Y Y Y Y P Y Y Y Y P Y NCWere costs and consequences valued credibly? Y Y NC Y Y NC Y Y Y Y P Y NC Y Y YWere costs and consequences adjusted for differentialtiming?Was an incremental analysis of costs and/orconsequences of alternatives performed?Was allowance made for uncertainty in the estimatesof costs and consequences?Did the presentation and discussion of study resultsinclude all issued of concern to users?NC Y N Y Y N Y N N N N N N N Y YN N N P Y N N P P P P N P P P NY Y N Y Y N N N N N Y N N N Y NY Y Y Y Y Y Y Y Y Y Y NC Y Y Y YY – Yes; N- No; NC – Not Clear; P – Partially33
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