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Title: Real world economic evaluation of rehabilitation services
Author: Hulme, Claire Threrese
Awarding Body: University of Salford
Current Institution: University of Salford
Date of Award: 2003
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This thesis seeks to explore how economic evaluations of rehabilitation services are carried out in the 'real world'. To consider whether the multifaceted components of the rehabilitation process can be, or are, meaningfully evaluated within the existing framework of economic evaluation. Attention will focus on three areas: • The theory and methodology underpinning economic evaluation of health interventions; elements that make up an 'ideal' or high quality economic evaluation • How current and past economic evaluations of rehabilitation services have been carried out, the differences and similarities and how far these evaluations conform to the 'ideal'. • A case study to identify the limitations placed upon economic evaluations of these types of service will explore how constraints shape the evaluation, influence the results and thus the conclusions that may be drawn from the study Chapters One to Five of the thesis look at existing work undertaken in this field. It begins by giving the rationale and context of the study in the current political and health care environment. It goes on to consider the rehabilitation process, the theory and methodology underpinning economic evaluation in health care and to identify essential elements of an economic evaluation. A literature review is carried out to identify trends in the evaluation of rehabilitation services and to explore how actual evaluations fit with the ideals of economic evaluation in this field. Chapter Six to Ten present a case study that explores different scenarios when carrying out an economic evaluation of a rehabilitation service; the constraints and limitations incurred in the evaluation design and process, how these may be overcome, how they are reflected in the results and changes in parameters within the evaluation. Chapter Eleven draws together the evidence presented to address the study question; can rehabilitation services be meaningfully evaluated within the existing framework of economic evaluation?
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available
Keywords: Health services & community care services