University of Twente Student Theses


An Analysis of the Cost-Effectiveness of an Extended Scope Specialist

Koeleman, M.J. (2023) An Analysis of the Cost-Effectiveness of an Extended Scope Specialist.

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Abstract:In this study, a cost-effectiveness analysis was conducted to assess the implementation of the Extended Scope Specialist (ESS) compared to usual care. Additionally, two different strategies within the ESS scenario were compared to usual care. Finally, the maximum allowable consultation rate for the ESS was determined using a decision tree model structure. The results were calculated through a probabilistic sensitivity analysis and a one-way sensitivity analysis. The findings of the study indicate an ICER outcome which is more in favor of the implementation of the ESS. Furthermore, it was observed that strategy two, which involves starting at the GP, is more cost-effective than strategy one, which begins directly at the ESS. However, it’s worth noting that strategy two had a significantly smaller population. Additionally, the study suggests that the costs associated with the ESS can be increased up to 70 euros while still maintaining cost-effectiveness in favor of the ESS. It’s essential to interpret these results with caution due to some uncertainties in the data input. Overall, this study contributes valuable insights into the cost-effectiveness of the ESS and provides guidance for the decision-makers in healthcare.
Item Type:Essay (Master)
Diagnostisch Centrum Beweegzorg, Enschede, Netherlands
Faculty:TNW: Science and Technology
Subject:44 medicine, 85 business administration, organizational science
Programme:Health Sciences MSc (66851)
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