Economic evaluation of nursing practices: a review of the literature.

Document type: Journal Articles
Article type: Review
Peer reviewed: Yes
Author(s): Kristina Lämås, Ania Willman, Lars Lindholm, Catrin Jacobsson
Title: Economic evaluation of nursing practices: a review of the literature.
Translated title: Hälsoekonomisk utvärdering av omvårdnad - en litteraturöversikt
Journal: International Nursing Review
Year: 2009
Volume: 56
Issue: 1
Pagination: 13-20
ISSN: 0020-8132
URI/DOI: 10.1111(j.1466-7657.2008.00672.x
ISI number: 000263343800012
Organization: Blekinge Institute of Technology
Department: School of Health Science (Sektionen för hälsa)
School of Health Science S-371 79 Karlskrona
+46 455 38 50 00
Authors e-mail:
Language: English
Abstract: The aim of this paper was to investigate how studies of nursing prctices apply economic evaluations. A literature review was conducted that included studies through August 2007. the search was performed using Medline, CINAHL, Psycinfo, Ecinlit, DARE, HTA, NHS EED, Cochrane reviews and clinical trials with a search term connected to nursing and health economics. Protocols were used in the screening procedure and the result is reported in a descriptive form. the search identified 115 studies published between 1984 and August 2007. Studies were found in the following nursing practices: provision of support and treatment (n=17); assessing suffering/well-being (n=1), preventing or treating ill health (n=53); and organization of individual care (n=44). In 22% of all the studies, the authors explicitly presented the health economic method used. In 25% of all studies, the perspective of the economic analysis was explicitly stated and a large variability in cost was considered in the analysis. In 82 studies, the authors reported cost-effective interventions. Although economic evaluation of nursing practice has increased, it is still a rather small area. According to the items elucidated in this study, further methodological improvement is needed to evaluate the economics of nursing.
Summary in Swedish: Hälsoekonomiska studier inom omvårdnad är sällsynta. I denna litterturöversikt identifierades 115 studier. I 22 procent av studierna anger författarna vilken hälsoekonomisk metod som använt. I 25% av studierna anges det ekonomiska perspektivet som valts. I 82 studier anger författarna att interventionen varit kostnadseffektiv.
Subject: Nursing & Caring Sciences\General
Keywords: healthcare economics, nursing, outcome assessment, review