The Health Economics theme team work on a range of research projects, here is a sample of their research projects.
The Universities of Sheffield, York, and Leeds joined forces with Local Authorities and Clinical Commissioning Groups (CCGs) from Sheffield and York areas, and the Yorkshire and Humber Care Record (YHCR) to ‘unlock’ the potential of routinely collected real-world data to promote and protect health and prevent ill-health in local and regional settings.
Find out how we did it, what we discovered and how the research will change health and social care. Read more about our research project. Watch our Introduction to Care Metadata webinar, read about searching the grey literature on how local governments use real-world data, and why we think unlocking linked real-world data presents opportunities to improve public health.
Recovering Quality of Life (ReQoL) is a PROM that was specifically designed to measure mental health service users’ perspectives of recovery and quality of life. A PROM is a questionnaire that service users complete. The questionnaire is important as it is used to decide what support or services people receive and to measure and improve the quality of care that service users receive.
Our work is now focussed on supporting a Community of Practice (CoP) to share their learning and knowledge about implementing ReQoL, and the use of ReQoL in their clinical practice.
Find out about our ReQoL Community of Practice and how to access and use the ReQoL 10 Visualisation Tool which is now available online. The health economics team are working in partnership with the Mental and physical multimorbidity theme.
Our Cardiac Rehabilitation (CR) research produced a mathematical model to explore the population health and NHS cost implications of cardiac rehabilitation given the effectiveness demonstrated in the latest systematic review of trial evidence. We concluded that CR was cost-effective, with the potential to save 20,000 lives and 50,000 hospital admissions over a 10-year period if uptake was increased to the 85% target. These findings have had significant impact on policy discussions, being referenced as the justification for increasing uptake in England in both the British Heart Foundation’s Turning Back the Tide Framework and the NHS Long Term Plan, as well as informing one of the University of York REF2021 submissions.
Read about the research through these two publications:
We are currently collaborating with the British Heart Foundation to develop a toolkit able to inform individualised impact assessments to be conducted at local, regional, and national levels.
Working in collaboration with the Urgent and Emergency Care theme we have evaluated whether paramedics who have rotated into primary care are non-conveying a higher proportion of patients than those who have not.
We determined the trend using interrupted time series and conducted a simple Cost Effectiveness analysis. Read further about this research here “The effect of a specialist paramedic primary care rotation on appropriate nonconveyance decisions (SPRAINED) study: a controlled interrupted time series analysis”
Delayed transfers of care (DTOC) is often referred, unhelpfully as ‘bed blocking’ and is often associated with waste and inefficiency in healthcare systems throughout the world. Policy setting has targeted the level of DTOC, with little done to put the patient health first.
Our research interrogated the current approach to the quantification of the DTOC impact and explored how policies and evaluation methods can do more to reflect the true impact of the delays. Read further about our research - Delayed Transfers of care for older people: a wider perspective