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    Cost-Effectiveness of a Programme to Detect and Provide Better Care for Female Victims of Intimate Partner Violence

    Access Status
    Fulltext not available
    Authors
    Norman, Richard
    Spencer, A.
    Eldridge, S.
    Feder, G.
    Date
    2010
    Type
    Journal Article
    
    Metadata
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    Citation
    Norman, R. and Spencer, A. and Eldridge, S. and Feder, G. 2010. Cost-Effectiveness of a Programme to Detect and Provide Better Care for Female Victims of Intimate Partner Violence. Journal of Health Services Research & Policy. 15 (3): pp. 143-149.
    Source Title
    Journal of Health Services & Research Policy
    DOI
    10.1258/jhsrp.2009.009032
    ISSN
    13558196
    URI
    http://hdl.handle.net/20.500.11937/20452
    Collection
    • Curtin Research Publications
    Abstract

    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.

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