The Community IntraVenous Antibiotic Study (CIVAS): a mixed-methods evaluation of patient preferences for and cost-effectiveness of different service models for delivering outpatient parenteral antimicrobial therapy

Minton J, Czoski Murray C, Meads D, Hess S, Vargas-Palacios A, Mitchell E, Wright J, Hulme C, Raynor D K, Gregson A, Stanley P, McLintock K, Vincent R & Twiddy M
Record ID 32017000145
English
Authors' objectives: Outpatient parenteral antimicrobial therapy (OPAT) is widely used in most developed countries, providing considerable opportunities for improved cost savings. However, it is implemented only partially in the UK, using a variety of service models. The aims of this research were to (1) establish the extent of OPAT service models in England and identify their development; (2) evaluate patients' preferences for different OPAT service delivery models; (3) assess the cost-effectiveness of different OPAT service delivery models; and (4) convene a consensus panel to consider our evidence and make recommendations.
Authors' recommendations: The quantitative preference analysis and economic modelling favoured a SN model, although there are differences between sociodemographic groups. SA provides cost savings for long-term treatment but is not appropriate for all.
Details
Project Status: Completed
Year Published: 2017
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: England, United Kingdom
MeSH Terms
  • Administration, Intravenous
  • Anti-Bacterial Agents
  • Anti-Infective Agents
  • Computer Systems
  • Cost-Benefit Analysis
  • Humans
  • Infusions, Intravenous
  • Outpatients
  • Patient Preference
Contact
Organisation Name: NIHR Health Services and Delivery Research programme
Contact Address: NIHR Journals Library, National Institute for Health and Care Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK
Contact Name: journals.library@nihr.ac.uk
Contact Email: journals.library@nihr.ac.uk
Copyright: Queen's Printer and Controller of HMSO
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