A systematic review of economic evaluation of healthcare associated infection prevention and control interventions in long term care facilities
Abstract Background Healthcare-associated infections (HCAI) are common in long-term care facilities (LTCF) and cause significant burden. Infection prevention and control (IPC) measures include the clinical best practices (CBP) of hand hygiene, hygiene and sanitation, screening, and basic and additio...
Saved in:
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2024-11-01
|
| Series: | Health Economics Review |
| Online Access: | https://doi.org/10.1186/s13561-024-00582-8 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850056121756155904 |
|---|---|
| author | Eric Nguemeleu Tchouaket Fatima El-Mousawi Stephanie Robins Katya Kruglova Catherine Séguin Kelley Kilpatrick Maripier Jubinville Suzanne Leroux Idrissa Beogo Drissa Sia |
| author_facet | Eric Nguemeleu Tchouaket Fatima El-Mousawi Stephanie Robins Katya Kruglova Catherine Séguin Kelley Kilpatrick Maripier Jubinville Suzanne Leroux Idrissa Beogo Drissa Sia |
| author_sort | Eric Nguemeleu Tchouaket |
| collection | DOAJ |
| description | Abstract Background Healthcare-associated infections (HCAI) are common in long-term care facilities (LTCF) and cause significant burden. Infection prevention and control (IPC) measures include the clinical best practices (CBP) of hand hygiene, hygiene and sanitation, screening, and basic and additional precautions. Few studies demonstrate their cost-effectiveness in LTCF, and those that do, largely focus on one CBP. An overarching synthesis of IPC economic analyses in this context is warranted. The aim of this paper is to conduct a systematic review of economic evaluations of CBP applied in LTCF. Methods We twice queried CINAHL, Cochrane, EconLit, Embase, Medline, Web of Science and Scopus for studies published in the last three decades of economic evaluations of CBP in LTCF. We included controlled and randomized clinical trials, cohort, longitudinal, follow-up, prospective, retrospective, cross-sectional, and simulations studies, as well as those based on mathematical or statistical modelling. Two reviewers conducted study selection, data extraction, and quality assessment of studies. We applied discounting rates of 3%, 5% and 8%, and presented all costs in 2022 Canadian dollars. The protocol of this review was registered with Research Registry (reviewregistry1210) and published in BMC Systematic Reviews. Findings We found 3,331 records and then 822 records; ten studies were retained. The economic analyses described were cost-minimization (n = 1), cost-benefit (n = 1), cost-savings (n = 2), cost-utility (n = 2) and cost-effectiveness which included cost-utility and cost-benefit analyses (n = 4). Four studies were high quality, three were moderate, and three were low quality. Inter-rater agreement for quality assessment was 91⋅7%. All studies (n = 10) demonstrated that CBP associated with IPC are clinically effective in LTCF and many (n = 6) demonstrated their cost effectiveness. Interpretation Ongoing economic evaluation research of IPC remains essential to underpin healthcare policy choices guided by empirical evidence for LTCF residents and staff. |
| format | Article |
| id | doaj-art-5a202c257e974fd996c6f818322e4b8e |
| institution | DOAJ |
| issn | 2191-1991 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Health Economics Review |
| spelling | doaj-art-5a202c257e974fd996c6f818322e4b8e2025-08-20T02:51:46ZengBMCHealth Economics Review2191-19912024-11-0114111810.1186/s13561-024-00582-8A systematic review of economic evaluation of healthcare associated infection prevention and control interventions in long term care facilitiesEric Nguemeleu Tchouaket0Fatima El-Mousawi1Stephanie Robins2Katya Kruglova3Catherine Séguin4Kelley Kilpatrick5Maripier Jubinville6Suzanne Leroux7Idrissa Beogo8Drissa Sia9Canadian Research Chair in the Economics of Infection Prevention and Control, Department of Nursing, Université du Québec en OutaouaisCanadian Research Chair in the Economics of Infection Prevention and Control, Department of Nursing, Université du Québec en OutaouaisCanadian Research Chair in the Economics of Infection Prevention and Control, Department of Nursing, Université du Québec en OutaouaisCanadian Research Chair in the Economics of Infection Prevention and Control, Department of Nursing, Université du Québec en OutaouaisCanadian Research Chair in the Economics of Infection Prevention and Control, Department of Nursing, Université du Québec en OutaouaisSusan E. French Chair in Nursing Research and Innovative Practice, Ingram School of Nursing, McGill UniversityCanadian Research Chair in the Economics of Infection Prevention and Control, Department of Nursing, Université du Québec en OutaouaisCanadian Research Chair in the Economics of Infection Prevention and Control, Department of Nursing, Université du Québec en OutaouaisSchool of Nursing, University of OttawaCanadian Research Chair in the Economics of Infection Prevention and Control, Department of Nursing, Université du Québec en OutaouaisAbstract Background Healthcare-associated infections (HCAI) are common in long-term care facilities (LTCF) and cause significant burden. Infection prevention and control (IPC) measures include the clinical best practices (CBP) of hand hygiene, hygiene and sanitation, screening, and basic and additional precautions. Few studies demonstrate their cost-effectiveness in LTCF, and those that do, largely focus on one CBP. An overarching synthesis of IPC economic analyses in this context is warranted. The aim of this paper is to conduct a systematic review of economic evaluations of CBP applied in LTCF. Methods We twice queried CINAHL, Cochrane, EconLit, Embase, Medline, Web of Science and Scopus for studies published in the last three decades of economic evaluations of CBP in LTCF. We included controlled and randomized clinical trials, cohort, longitudinal, follow-up, prospective, retrospective, cross-sectional, and simulations studies, as well as those based on mathematical or statistical modelling. Two reviewers conducted study selection, data extraction, and quality assessment of studies. We applied discounting rates of 3%, 5% and 8%, and presented all costs in 2022 Canadian dollars. The protocol of this review was registered with Research Registry (reviewregistry1210) and published in BMC Systematic Reviews. Findings We found 3,331 records and then 822 records; ten studies were retained. The economic analyses described were cost-minimization (n = 1), cost-benefit (n = 1), cost-savings (n = 2), cost-utility (n = 2) and cost-effectiveness which included cost-utility and cost-benefit analyses (n = 4). Four studies were high quality, three were moderate, and three were low quality. Inter-rater agreement for quality assessment was 91⋅7%. All studies (n = 10) demonstrated that CBP associated with IPC are clinically effective in LTCF and many (n = 6) demonstrated their cost effectiveness. Interpretation Ongoing economic evaluation research of IPC remains essential to underpin healthcare policy choices guided by empirical evidence for LTCF residents and staff.https://doi.org/10.1186/s13561-024-00582-8 |
| spellingShingle | Eric Nguemeleu Tchouaket Fatima El-Mousawi Stephanie Robins Katya Kruglova Catherine Séguin Kelley Kilpatrick Maripier Jubinville Suzanne Leroux Idrissa Beogo Drissa Sia A systematic review of economic evaluation of healthcare associated infection prevention and control interventions in long term care facilities Health Economics Review |
| title | A systematic review of economic evaluation of healthcare associated infection prevention and control interventions in long term care facilities |
| title_full | A systematic review of economic evaluation of healthcare associated infection prevention and control interventions in long term care facilities |
| title_fullStr | A systematic review of economic evaluation of healthcare associated infection prevention and control interventions in long term care facilities |
| title_full_unstemmed | A systematic review of economic evaluation of healthcare associated infection prevention and control interventions in long term care facilities |
| title_short | A systematic review of economic evaluation of healthcare associated infection prevention and control interventions in long term care facilities |
| title_sort | systematic review of economic evaluation of healthcare associated infection prevention and control interventions in long term care facilities |
| url | https://doi.org/10.1186/s13561-024-00582-8 |
| work_keys_str_mv | AT ericnguemeleutchouaket asystematicreviewofeconomicevaluationofhealthcareassociatedinfectionpreventionandcontrolinterventionsinlongtermcarefacilities AT fatimaelmousawi asystematicreviewofeconomicevaluationofhealthcareassociatedinfectionpreventionandcontrolinterventionsinlongtermcarefacilities AT stephanierobins asystematicreviewofeconomicevaluationofhealthcareassociatedinfectionpreventionandcontrolinterventionsinlongtermcarefacilities AT katyakruglova asystematicreviewofeconomicevaluationofhealthcareassociatedinfectionpreventionandcontrolinterventionsinlongtermcarefacilities AT catherineseguin asystematicreviewofeconomicevaluationofhealthcareassociatedinfectionpreventionandcontrolinterventionsinlongtermcarefacilities AT kelleykilpatrick asystematicreviewofeconomicevaluationofhealthcareassociatedinfectionpreventionandcontrolinterventionsinlongtermcarefacilities AT maripierjubinville asystematicreviewofeconomicevaluationofhealthcareassociatedinfectionpreventionandcontrolinterventionsinlongtermcarefacilities AT suzanneleroux asystematicreviewofeconomicevaluationofhealthcareassociatedinfectionpreventionandcontrolinterventionsinlongtermcarefacilities AT idrissabeogo asystematicreviewofeconomicevaluationofhealthcareassociatedinfectionpreventionandcontrolinterventionsinlongtermcarefacilities AT drissasia asystematicreviewofeconomicevaluationofhealthcareassociatedinfectionpreventionandcontrolinterventionsinlongtermcarefacilities AT ericnguemeleutchouaket systematicreviewofeconomicevaluationofhealthcareassociatedinfectionpreventionandcontrolinterventionsinlongtermcarefacilities AT fatimaelmousawi systematicreviewofeconomicevaluationofhealthcareassociatedinfectionpreventionandcontrolinterventionsinlongtermcarefacilities AT stephanierobins systematicreviewofeconomicevaluationofhealthcareassociatedinfectionpreventionandcontrolinterventionsinlongtermcarefacilities AT katyakruglova systematicreviewofeconomicevaluationofhealthcareassociatedinfectionpreventionandcontrolinterventionsinlongtermcarefacilities AT catherineseguin systematicreviewofeconomicevaluationofhealthcareassociatedinfectionpreventionandcontrolinterventionsinlongtermcarefacilities AT kelleykilpatrick systematicreviewofeconomicevaluationofhealthcareassociatedinfectionpreventionandcontrolinterventionsinlongtermcarefacilities AT maripierjubinville systematicreviewofeconomicevaluationofhealthcareassociatedinfectionpreventionandcontrolinterventionsinlongtermcarefacilities AT suzanneleroux systematicreviewofeconomicevaluationofhealthcareassociatedinfectionpreventionandcontrolinterventionsinlongtermcarefacilities AT idrissabeogo systematicreviewofeconomicevaluationofhealthcareassociatedinfectionpreventionandcontrolinterventionsinlongtermcarefacilities AT drissasia systematicreviewofeconomicevaluationofhealthcareassociatedinfectionpreventionandcontrolinterventionsinlongtermcarefacilities |