| Abstract [eng] |
Before making a decision to employ an innovation in medicine on both medical and economical dimensions, performed economic analysis of effectiveness of health interventions. Cost effectiveness analysis is constituent of health economic. It estimates the relation between cost ant effectiveness of health interventions. The aim of this research: after study of methods of economic evaluation, to supply the model of cost effectiveness analysis and to test it for health interventions of “N” health care institution. The tasks to reach the established aim of this study are: 1. By analysis of literature, to supply the reference of cost effectiveness analysis as constituent of health economic; 2. To study the use of cost effectiveness analysis in nowadays Lithuanian’s health care institutions; 3. To offer the model of cost effectiveness analysis; 4. To perform the cost effectiveness analysis of health interventions of “N” health care institution. The object of research is: cost of health care institution. Having studied the opportunities of economic analysis, performed the cost effectiveness analysis in “N” health care institution. There were used two methods of economic analysis: cost-effectiveness and cost-utility methods. On the analysis estimated cost and effectiveness of health interventions. In the research analyzed three health interventions: standard health intervention – physiotherapy in exercises room and two alternatives health interventions – physiotherapy in the water and manual therapy (with massage). Having done cost effectiveness analysis, made CUR and CER (cost utility (effectiveness) ratios) and ICUR and ICER (incremental cost utility (effectiveness) ratios), with being shown, with health interventions are mostly effectiveness on both medical and economical dimensions. The results of the research shown, that mostly effectiveness health interventions are: standard intervention - physiotherapy in exercises room and alternative intervention - manual therapy (with massage). The master graduation paper includes introduction, three parts with are divided into sections and subsections by studying questions, and conclusions. Scope of the paper – 80 pages with 28 figures and 28 tables. At the end of paper supplied 84 references and 4 appendices. |
