caa a22 4500 397516665 CHVBK 20180308164620.0 cr unu---uuuuu 161202s1995 xx s 000 0 eng 10.1093/eurpub/5.1.8 doi (NATIONALLICENCE)oxford-10.1093/eurpub/5.1.8 HUIJSMAN ROBBERT Economic evaluation of care for the chronically ill [Elektronische Daten] A literature review [ROBBERT HUIJSMAN] Financial problems of governments and the consequent urge to set limits on health care growth have increased the importance of economic rationalization. A systematic review of the present body of knowledge might facilitate the need to set priorities in health care policies and research in an ageing society with growing numbers of the elderly and chronically ill. After explaining the purpose and methods of full economic evaluation, we review the literature on 3 major chronic diseases, diabetes mellitus (20 publications), rheumatoid arthritis (15) and chronic obstructive pulmonary disease (COPD) and asthma (8). This review serves 2 objectives: to review the existing literature and to assess its quality. The review reveals a lack of full economic evaluation in this sector of health care. The total number of references to the specified chronic diseases covers 5% of all economic literature and 44% of all references under Index Medicus' heading ‘economics', while the burden of illness is substantial, resulting in high indirect costs to the patients themselves and to society. The dominant approach is cost-effectiveness analysis (71%), followed by cost-benefit analysis (20%). Cost-utility analysis is rare (9%), partly because it is still in the phase of development. However, this approach can deal better with the objectives of many interventions in chronic care, i.e. increasing the quality rather than the quantity of life. We make a plea for full economic evaluation of chronic care programmes and for the development of quality of life measures which cover the broad domain of well-being of the chronically ill. © European Journal of Public Health CHRONIC DISEASES nationallicence chronic diseases nationallicence diabetes mellitus nationallicence rheumatoid arthritis nationallicence chronic obstructive pulmonary disease and asthma nationallicence full economic evaluation nationallicence quality of life nationallicence The European Journal of Public Health Oxford University Press 5/1(1995), 8-19 1101-1262 5:1<8 1995 5 eurpub https://doi.org/10.1093/eurpub/5.1.8 text/html Onlinezugriff via DOI 1 other jats NATIONALLICENCE 856 40 https://doi.org/10.1093/eurpub/5.1.8 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- HUIJSMAN ROBBERT NATIONALLICENCE 773 0- The European Journal of Public Health Oxford University Press 5/1(1995), 8-19 1101-1262 5:1<8 1995 5 eurpub Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford