000 | 02813nab a22003377a 4500 | ||
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_c8491 _d8491 |
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005 | 20250625151652.0 | ||
008 | 240122s2024 ||||| |||| 00| 0 eng d | ||
040 | _aAFVC | ||
100 |
_aCochrane, Madeleine _912516 |
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245 |
_aPrimary care system-level training and support programme for the secondary prevention of domestic violence and abuse : _ba cost-effectiveness feasibility model _cMadeleine Cochrane, Eszter Szilassy, Caroline Coope, Elizabeth Emsley, Medina Johnson, Gene Feder and Estela Capelas Barbosa |
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260 |
_bBMJ, _c2024 |
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500 | _aBMJ Open, 2024: 14 :e071300. | ||
520 | _aObjectives This study aimed to evaluate the prospective cost-effectiveness of the Identification and Referral to Improve Safety plus (IRIS+) intervention compared with usual care using feasibility data derived from seven UK general practice sites. Method A cost–utility analysis was conducted to assess the potential cost-effectiveness of IRIS+, an enhanced model of the UK’s usual care. IRIS+ assisted primary care staff in identifying, documenting and referring not only women, but also men and children who may have experienced domestic violence/abuse as victims, perpetrators or both. A perpetrator group programme was not part of the intervention per se but was linked to the IRIS+ intervention via a referral pathway and signposting. A Markov model was constructed from a societal perspective to estimate mean incremental costs and quality-adjusted life years (QALYs) of IRIS+ compared with to usual care over a 10-year time horizon. Results The IRIS+ intervention saved £92 per patient and produced QALY gains of 0.003. The incremental net monetary benefit was positive (£145) and the IRIS+ intervention was cost-effective in 55% of simulations at a cost-effectiveness threshold of £20 000 per QALY. Conclusion The IRIS+ intervention could be cost-effective or even cost saving from a societal perspective in the UK, though there are large uncertainties, reflected in the confidence intervals and simulation results. (Authors' abstract). Record #8491 | ||
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_aDOMESTIC VIOLENCE _9203 |
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_aECONOMIC ASPECTS _9213 |
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_aINTERVENTION _9326 |
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_aHEALTH _9283 |
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_aINTIMATE PARTNER VIOLENCE _9431 |
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_aINTERNATIONAL _93624 |
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651 | 4 |
_aUNITED KINGDOM _92604 |
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_aSzilassy, Eszter _93880 |
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_aCoope, Caroline _912517 |
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_aEmsley, Elizabeth _912518 |
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_aJohnson, Medina _912519 |
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_aFeder, Gene _91134 |
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_aBarbosa, Estela C. _912131 |
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773 | _tBMJ Open, 2024: 14 :e071300. | ||
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_aBMJ Open _94846 |
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_uhttps://doi.org/10.1136/bmjopen-2022-071300 _zDOI: 10.1136/bmjopen-2022-071300 (Open access) |
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_2ddc _cARTICLE _hnews125 |