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Developing a new quality of life instrument with older people for economic evaluation in aged care: Study protocol

Ratcliffe, Julie; Cameron, Ian; Lancsar, Emily; Walker, Ruth; Milte, Rachel; Hutchinson, Claire Louise; Swaffer, Kate; Parker, Stuart

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Introduction The ageing of the population represents a significant challenge for aged care in Australia and in many other countries internationally. In an environment of increasing resource constraints, new methods, techniques and evaluative frameworks are needed to support resource allocation decisions that maximise the quality of life and well-being of older people. Economic evaluation offers a rigorous, systematical and transparent framework for measuring quality and efficiency, but there is...[Show more]

dc.contributor.authorRatcliffe, Julie
dc.contributor.authorCameron, Ian
dc.contributor.authorLancsar, Emily
dc.contributor.authorWalker, Ruth
dc.contributor.authorMilte, Rachel
dc.contributor.authorHutchinson, Claire Louise
dc.contributor.authorSwaffer, Kate
dc.contributor.authorParker, Stuart
dc.date.accessioned2020-12-01T05:43:09Z
dc.date.available2020-12-01T05:43:09Z
dc.identifier.issn2044-6055
dc.identifier.urihttp://hdl.handle.net/1885/216626
dc.description.abstractIntroduction The ageing of the population represents a significant challenge for aged care in Australia and in many other countries internationally. In an environment of increasing resource constraints, new methods, techniques and evaluative frameworks are needed to support resource allocation decisions that maximise the quality of life and well-being of older people. Economic evaluation offers a rigorous, systematical and transparent framework for measuring quality and efficiency, but there is currently no composite mechanism for incorporating older people’s values into the measurement and valuation of quality of life for quality assessment and economic evaluation. In addition, to date relatively few economic evaluations have been conducted in aged care despite the large potential benefits associated with their application in this sector. This study will generate a new preference based older person-specific quality of life instrument designed for application in economic evaluation and co-created from its inception with older people. Methods and analysis A candidate descriptive system for the new instrument will be developed by synthesising the findings from a series of in-depth qualitative interviews with 40 older people currently in receipt of aged care services about the salient factors which make up their quality of life. The candidate descriptive system will be tested for construct validity, practicality and reliability with a new independent sample of older people (n=100). Quality of life state valuation tasks using best worst scaling (a form of discrete choice experiment) will then be undertaken with a representative sample of older people currently receiving aged care services across five Australian states (n=500). A multinomial (conditional) logistical framework will be used to analyse responses and generate a scoring algorithm for the new preference-based instrument. Ethics and dissemination The new quality of life instrument will have wide potential applicability in assessing the cost effectiveness of new service innovations and for quality assessment across the spectrum of ageing and aged care. Results will be disseminated in ageing, quality of life research and health economics journals and through professional conferences and policy forums. This study has been reviewed by the Human Research Ethics Committee of the University of South Australia and has ethics approval (Application ID: 201644).
dc.description.sponsorshipThis work is supported by an Australian Research Council Linkage Project (grant number LP170100664). Additional funding support from our partner organisations ECH, Helping Hand, Uniting Age Well, Uniting ACT NSW and Presbyterian Aged Care is also gratefully acknowledged.
dc.format.mimetypeapplication/pdf
dc.language.isoen_AU
dc.publisherBMJ Publishing Group
dc.rights© Author(s) (or their employer(s)) 2019.
dc.sourceBMJ Open
dc.titleDeveloping a new quality of life instrument with older people for economic evaluation in aged care: Study protocol
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume9
dc.date.issued2019
local.identifier.absfor140208 - Health Economics
local.identifier.ariespublicationu3102795xPUB3450
local.publisher.urlhttp://bmjopen.bmj.com/
local.type.statusPublished Version
local.contributor.affiliationRatcliffe, Julie, Flinders University
local.contributor.affiliationCameron, Ian, University of Sydney
local.contributor.affiliationLancsar, Emily, College of Health and Medicine, ANU
local.contributor.affiliationWalker, Ruth, Flinders University
local.contributor.affiliationMilte, Rachel, Flinders University
local.contributor.affiliationHutchinson, Claire Louise, Flinders University
local.contributor.affiliationSwaffer, Kate, Dementia Alliance International
local.contributor.affiliationParker, Stuart, Newcastle University
dc.relationhttp://purl.org/au-research/grants/arc/LP170100664
local.bibliographicCitation.issue5
local.bibliographicCitation.startpage1
local.bibliographicCitation.lastpage6
local.identifier.doi10.1136/bmjopen-2018-028647
local.identifier.absseo920208 - Health Policy Evaluation
dc.date.updated2020-07-19T08:29:23Z
local.identifier.scopusID2-s2.0-85066839913
dcterms.accessRightsOpen Access
dc.provenanceThis is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
CollectionsANU Research Publications

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