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Health Service Research
YHEC was originally established to provide health economic support to NHS organisations and this continues to account for a significant proportion of our work. Our applied health services research experience includes service reviews and evaluations at both a local and national level, covering a wide range of interventions and policy initiatives. These projects have helped to inform policy making at both a national and local level in areas including public health (e.g. alcohol misuse, physical activity, smoking cessation), patient safety, telehealth and telecare, learning disabilities, and children with life-limiting conditions.
Our service reviews and evaluations are carried out by multi-disciplinary teams capable of providing a range of skills and capabilities, including:
- Targeted literature reviews
- Analysis of activity data (national, such as Hospital Episodes Statistics, or that collected locally) to investigate aspects such as referral rates, treatment pathways and health services expenditure
- Administration of electronic (and/or hard-copy) questionnaires and surveys which capture both qualitative and quantitative data
- Qualitative research, such as workshops, focus groups and one-to-one interviews
- Costing models of service delivery
YHEC has worked with a wide range of NHS providers and commissioners to help inform decisions on the efficient use of NHS resources.
Typical activities include:
- Health technology assessment
- Cost-effectiveness analyses
- Needs assessment exercises, to help identify gaps between current provision and needs across a population
- Cost/Burden of illness studies
- Benchmarking of performance, cost and activity against national standards or international best practice to identify opportunities for more efficient use of resources
- Options appraisals for potential re-configurations of local services
- Policy analysis
- Economic analyses with clinical trials
Some of our recent publications are:
Glanville, J, Kendrick A, McNally R, Campbell J, Hobbs FD. Research output on primary care in Australia, Canada, Germany, the Netherlands, the United Kingdom, and the United States: bibliometric analysis. BMJ 2011; 342: d1028.  Bending MW, Trueman P, Lowson KV, Pilgrim H, Tappenden P, Chilcott J & Tappenden J.. Estimating the direct costs of bowel cancer services provided by the National Health Service in England International Journal of Technology Assessment in Health Care 2010; 26(4): 362-369. Hex, Nick. The role of boards In: Edinburgh: Audit Scotland 2010 September. Available from: The role of boards Lenoir-Wijnkoop I, Dapoigny M, Dubois D, van Ganse E, Gutiérrez-Ibarluzea I, Hutton J, Jones P, Mittendorf T, Poley MJ, Salminen S, Nuijten MJC. Nutrition economics - characterising the economic and health impact of nutrition British Journal of Nutrition 2010; 1-9. Brown A, Craig J. Oxford Diabetes Library: Heart Disease and Diabetes Health economics of treating heart disease in diabetes In: Fisher M editors. Oxford: OUP 2009. Bending MW, Beale S, Hutton J. An economic analysis of workplace interventions that promote physical activity PHIAC Report, National Institute for Health and Clinical Excellence 2008; April. Hex, Nick. Day surgery in Scotland In: Edinburgh: Audit Scotland 2008 September. Available from: Day surgery in Scotland Nic Lochlainn E, Abbotts J, Craig J, Downie S, Eastgate J, Kohli H, Macpherson K, McIntosh H, Riches E, Thompson J, Twaddle S, Wilson S. Service delivery organisation for acute low back pain (HTA programme systematic review 1) In: Edinburgh: NHS Quality Improvement Scotland 2008 Available from: Service delivery organisation for acute low back pain (HTA programme systematic review 1) Beale S, Bending MW, Hutton J. A rapid review of economic literature: workplace health promotion - how to encourage employees to be physically active PHIAC Report, National Institute for Health and Clinical Excellence 2007; August. Beale S, Bending MW, Trueman P. An economic analysis of environmental interventions that promote physical activity PDG Report, National Institute for Health and Clinical Excellence 2007; April. Beale S, Bending MW, Yi Y, Trueman P. A rapid review of economic literature related to environmental interventions that increase physical activity levels in the general population PDG Report, National Institute for Health and Clinical Excellence 2007; March. Lowson K, Young J, Green J, Forster A, Small N, Bogle S, George J, Heseltine D, Jayasuriya T, Rowe J. Post acute care for older people in community hospitals: a multicenter randomized, controlled trial Journal of the American Geriatrics Society 2007; 55(12): 1995-2002. Ritchie K, Bradbury I, Craig J, Eastgate J, Foster L, Kohli H, Iqbal K, MacPherson K, McCarthy T, McIntosh H, Nic Lochlainn E, Reid M, Taylor J. The clinical and cost effectiveness of screening for meticillin-resistant staphylococcus aureus (MRSA) (HTA report 9) In: Edinburgh: NHS Quality Improvement Scotland 2007 Available from: The clinical and cost effectiveness of screening for meticillin-resistant staphylococcus aureus (MRSA) (HTA report 9) Williams C, Brunskill S, Altman D, Briggs A, Campbell H, Clarke M, Glanville J, Gray A, Harris A, Johnston K, Lodge M. Cost-effectiveness of using prognostic information to select women with breast cancer for adjuvant systemic therapy Health Technology Assessment 2006; 10(34): 1-222. Craig, J, Bradbury I, Collinson P, Emslie C, Findlay I, Hunt K, Kohli H, Kulkarni U, Macpherson K, Riches E, Single A, Tochel C. The organisation of troponin testing services in acute coronary syndromes (HTA report 4) In: Edinburgh: NHS Quality Improvement Scotland 2004 Available from: The organisation of troponin testing services in acute coronary syndromes (HTA report 4) Sheldon TA, Cullum N, Dawson D, Lankshear A, Lowson KV, Watt I, West PA, Wright DL, Wright J. What's the evidence that NICE guidance has been implemented? Results from a national evaluation using time series analysis, audit of patients; notes, and interviews BMJ 2004; 329: 999. Sanderson DJ, Limber C, Eldred C, Harrison K. To the ENT degree Health Service Journal 2003; 113(5844) 27 February: 26-27. Slattery J, Chick J, Cochrane M, Craig J, Godfrey C, Kohli H, Macpherson K, Parrott S, Quinn S, Single A, Tochel C, Watson H. Prevention of relapse in alcohol dependence In: Edinburgh: NHS Quality Improvement Scotland 2003 Available from: Prevention of relapse in alcohol dependence Taylor MJ. Scuffham PA. New Zealand bicycle helmet law: do the costs outweigh the benefits? Injury Prevention 2002; 8: 317-320. Droogan J, Glanville J, Watt I, Wilson P. Access to the evidence base from general practice in Northern and Yorkshire Region: report to NHSE Northern & Yorkshire Region York: NHS Centre for Reviews and Dissemination 2000. Hittinger R, Glanville J, Cartwright J, Johnson S, Gregson D. Clinical governance: making it happen Guide to sources In: Lugon M, Secker-Walker J editors. London: Royal Society of Medicine 1999. Craig, J. Economic appraisal of dabigatran etexilate 150 mg compared to warfarin or aspirin in patients with atrial fibrillation In: West Yorkshire Cardiac Network
Some of our recent presentations are:
. Economic evaluation of community hospital care for older people British Geriatric Society, Harrogate (October 6-8 2004) 2004 Bagust A, Beale SJ, Downs KE, Stewart M. Pattern of long-term beta-cell function deterioration in type 2 diabetes European Association for the Study of Diabetes 38th Annual Meeting, Budapest (September 1-5 2002) 2002 Beale SJ, Tatlock SR, Wheeler K, Ryan J. Telehealth - Initial Users' Views and Impact on Healthcare Resource Use ISPOR 13th Annual European Congress, Prague, 2010 2010 Brosa M, Taylor MJ, Staginnus U et al. Cost-effectiveness of dasatinib vs imatinib 800 mg/day in patients with imatinib-resistant chronic myeloid leukaemia in Spain ISPOR European Conference, Dublin (October 2007) 2007 Taylor MJ, Righetti C, Conway P, Lebmeier M. Capturing treatment effectiveness in the modelling of rheumatoid arthritis: a methodological approach European League against Rheumatism Conference, Copenhagen, Denmark (2009) 2009 Trueman P. Cost effectiveness of VAC therapy in the home health setting World Union of Wound Healing Societies (June 4-7 2008) 2008 Trueman P. Relative cost effectiveness of different weight loss/weight maintenance programmes National Obesity Forum Annual Meeting (October 7 2008) 2008 Trueman P, Flack S. Economic evaluation of Weight Watchers in the prevention and management of obesity Clinical Excellence, Birmingham (December 2006) 2006 Ulrich R, Simmonds M, Young P, Buisseret A, Howells A, Warren W, Millman J, Hastie D, Hametz I, Place B, Bending MW. The estate we're in: symposium on single bed ward accommodation Symposium on single bed ward accommodation, Cardiff (June 2007) 2007
For more details please contact Sophie Beale (Project Director) by telephone (+44 (0) 1904 324823) or email (sophie.beale@york.ac.uk)
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