Cited by 212Health Policy Implementation ScienceHealth Systems, Economic Evaluations, Quality of LifeEvaluation and Performance Assessment

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Economic evaluation in implementation science: Making the business case for implementation strategies

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Eisman, Andria B., Kilbourne, Amy M., Dopp, Alex R., Saldana, Lisa, Eisenberg, Daniel·2020·Psychiatry Research

DOI 10.1016/j.psychres.2019.06.008PMC PMC6898762

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Abstract

Implementation researchers have made notable progress in developing and testing implementation strategies (i.e., highly-specified methods used to help providers improve uptake of mental health evidence-based practices: EBPs). Yet, implementation strategies are not widely applied in healthcare organizations to improve delivery of EBPs. Economic considerations are a key factor influencing the use of implementation strategies to deliver and sustain mental health evidence-based practices, in part because many health care leaders are reluctant to invest in ongoing implementation strategy support without knowing the return-on-investment. Comparative economic evaluation of implementation strategies provides critical information for payers, policymakers, and providers to make informed decisions if specific strategies are an efficient use of scarce organizational resources. Currently, few implementation studies include implementation cost data and even fewer conduct comparative economic analyses of implementation strategies. This summary will introduce clinicians, researchers and other health professionals to the economic evaluation in implementation science. We provide an overview of different economic evaluation methods, discuss differences between economic evaluation in health services and implementation science. We also highlight approaches and frameworks to guide economic evaluation of implementation, provide an example for a cognitive-behavioral therapy program and discuss recommendations.

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Authors: Eisman, A. B., Kilbourne, A. M., Dopp, A. R., Saldana, L., & Eisenberg, D.
Affiliations: University of Michigan (US)
United States Department of Veterans Affairs (US)
University of Arkansas at Fayetteville (US)
Oregon Social Learning Center (US)
Corresponding author: Eisman, Andria B.
ORCID: Eisman, Andria B.
Kilbourne, Amy M.
Dopp, Alex R.
Saldana, Lisa
Eisenberg, Daniel
Venue: Psychiatry Research
Publisher: Elsevier BV
Published: 2020-01
Volume: 283
Pages: 112433
ISSN: 0165-1781 (ISSN-L)
DOI: 10.1016/j.psychres.2019.06.008
PMC: PMC6898762
OpenAlex: W2952330955
Cited by: 210
References: 50
Citations by year: 2026: 21 · 2025: 30 · 2024: 47 · 2023: 37 · 2022: 35 · 2021: 24 · 2020: 12
FWCI: 3.40
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by-nc-nd
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
creativecommons.org/licenses/by-nc-nd/4.0/ (vor, 114 d)
Locations: Psychiatry Research (publishedVersion, cc-by-nc-nd)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Mental Health
National Institute on Drug Abuse
Topics: Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
Social Sciences › Public Administration › Evaluation and Performance Assessment
Keywords: economic evaluation, implementation science, implementation strategies, return on investment, implementation costs, comparative economic analysis, cognitive behavioral therapy
MeSH terms: Implementation Science, Mental Disorders, Cost-Benefit Analysis, Delivery of Health Care, Humans, Mental Health, Cognitive Behavioral Therapy, Evidence-Based Practice

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Economic evaluation in implementation science: Making the business case for implementation strategies

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