Global systematic review of the cost-effectiveness of indigenous health interventions.

<h4>Background</h4>Indigenous populations around the world have consistently been shown to bear a greater burden of disease, death and disability than their non-Indigenous counterparts. Despite this, little is known about what constitutes cost-effective interventions in these groups. The...

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Autores principales:	Blake J Angell, Janani Muhunthan, Michelle Irving, Sandra Eades, Stephen Jan
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/fa37470d11fb40ae91775ebee525bd1f
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spelling	oai:doaj.org-article:fa37470d11fb40ae91775ebee525bd1f2021-11-25T05:54:35ZGlobal systematic review of the cost-effectiveness of indigenous health interventions.1932-620310.1371/journal.pone.0111249https://doaj.org/article/fa37470d11fb40ae91775ebee525bd1f2014-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0111249https://doaj.org/toc/1932-6203<h4>Background</h4>Indigenous populations around the world have consistently been shown to bear a greater burden of disease, death and disability than their non-Indigenous counterparts. Despite this, little is known about what constitutes cost-effective interventions in these groups. The objective of this paper was to assess the global cost-effectiveness literature in Indigenous health to identify characteristics of successful and unsuccessful interventions and highlight areas for further research.<h4>Methods and findings</h4>A systematic review of the published literature was carried out. MEDLINE, PSYCINFO, ECONLIT, EMBASE and CINAHL were searched with terms to identify cost-effectiveness evaluations of interventions in Indigenous populations around the world. The WHO definition was followed in identifying Indigenous populations. 19 studies reporting on 27 interventions were included in the review. The majority of studies came from high-income nations with only two studies of interventions in low and middle-income nations. 22 of the 27 interventions included in the analysis were found to be cost-effective or cost-saving by the respective studies. There were only two studies that focused on Indigenous communities in urban areas, neither of which was found to be cost-effective. There was little attention paid to Indigenous conceptions of health in included studies. Of the 27 included studies, 23 were interventions that specifically targeted Indigenous populations. Outreach programs were shown to be consistently cost-effective.<h4>Conclusion</h4>The comprehensive review found only a small number of studies examining the cost-effectiveness of interventions into Indigenous communities around the world. Given the persistent disparities in health outcomes faced by these populations and commitments from governments around the world to improving these outcomes, it is an area where the health economics and public health fields can play an important role in improving the health of millions of people.Blake J AngellJanani MuhunthanMichelle IrvingSandra EadesStephen JanPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 11, p e111249 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Blake J Angell Janani Muhunthan Michelle Irving Sandra Eades Stephen Jan Global systematic review of the cost-effectiveness of indigenous health interventions.
description	<h4>Background</h4>Indigenous populations around the world have consistently been shown to bear a greater burden of disease, death and disability than their non-Indigenous counterparts. Despite this, little is known about what constitutes cost-effective interventions in these groups. The objective of this paper was to assess the global cost-effectiveness literature in Indigenous health to identify characteristics of successful and unsuccessful interventions and highlight areas for further research.<h4>Methods and findings</h4>A systematic review of the published literature was carried out. MEDLINE, PSYCINFO, ECONLIT, EMBASE and CINAHL were searched with terms to identify cost-effectiveness evaluations of interventions in Indigenous populations around the world. The WHO definition was followed in identifying Indigenous populations. 19 studies reporting on 27 interventions were included in the review. The majority of studies came from high-income nations with only two studies of interventions in low and middle-income nations. 22 of the 27 interventions included in the analysis were found to be cost-effective or cost-saving by the respective studies. There were only two studies that focused on Indigenous communities in urban areas, neither of which was found to be cost-effective. There was little attention paid to Indigenous conceptions of health in included studies. Of the 27 included studies, 23 were interventions that specifically targeted Indigenous populations. Outreach programs were shown to be consistently cost-effective.<h4>Conclusion</h4>The comprehensive review found only a small number of studies examining the cost-effectiveness of interventions into Indigenous communities around the world. Given the persistent disparities in health outcomes faced by these populations and commitments from governments around the world to improving these outcomes, it is an area where the health economics and public health fields can play an important role in improving the health of millions of people.
format	article
author	Blake J Angell Janani Muhunthan Michelle Irving Sandra Eades Stephen Jan
author_facet	Blake J Angell Janani Muhunthan Michelle Irving Sandra Eades Stephen Jan
author_sort	Blake J Angell
title	Global systematic review of the cost-effectiveness of indigenous health interventions.
title_short	Global systematic review of the cost-effectiveness of indigenous health interventions.
title_full	Global systematic review of the cost-effectiveness of indigenous health interventions.
title_fullStr	Global systematic review of the cost-effectiveness of indigenous health interventions.
title_full_unstemmed	Global systematic review of the cost-effectiveness of indigenous health interventions.
title_sort	global systematic review of the cost-effectiveness of indigenous health interventions.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/fa37470d11fb40ae91775ebee525bd1f
work_keys_str_mv	AT blakejangell globalsystematicreviewofthecosteffectivenessofindigenoushealthinterventions AT jananimuhunthan globalsystematicreviewofthecosteffectivenessofindigenoushealthinterventions AT michelleirving globalsystematicreviewofthecosteffectivenessofindigenoushealthinterventions AT sandraeades globalsystematicreviewofthecosteffectivenessofindigenoushealthinterventions AT stephenjan globalsystematicreviewofthecosteffectivenessofindigenoushealthinterventions
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Global systematic review of the cost-effectiveness of indigenous health interventions.

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