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Cross-Country Measures for Monitoring Epilepsy Care by ILAE Commission on Healthcare Policy

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Date
2007
Dewey
Economie sociale
Sujet
Healthcare; Evaluation; International; Survey
JEL code
I12; I11
Journal issue
Epilepsia
Volume
48
Number
5
Publication date
09-2007
Article pages
990-1001
Publisher
Blackwell Publishing Ltd
DOI
http://dx.doi.org/10.1111/j.1528-1167.2007.00981.x
URI
https://basepub.dauphine.fr/handle/123456789/1550
Collections
  • LEDa : Publications
Metadata
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Author
Donaldson, Karen Lee
Wiebe, Samuel
Langfitt, John T.
Lévy, Pierre
Butler, James
Chisholm, Daniel
Pachlatko, Christoph
Beghi, Ettore
Baker, Gus A.
Begley, Charles E.
Type
Article accepté pour publication ou publié
Abstract (FR)
Comparaison internationale des modes de prise e ncharge de l'épilepsie.
Abstract (EN)
Purpose: The International League Against Epilepsy (ILAE) Commission on Healthcare Policy in consultation with the World Health Organization (WHO) examined the applicability and usefulness of various measures for monitoring epilepsy healthcare services and systems across countries. The goal is to provide planners and policymakers with tools to analyze the impact of healthcare services and systems and evaluate efforts to improve performance. Methods: Commission members conducted a systematic literature review and consulted with experts to assess the nature, strengths, and limitations of the treatment gap and resource availability measures that are currently used to assess the adequacy of epilepsy care. We also conducted a pilot study to determine the feasibility and applicability of using new measures to assess epilepsy care developed by the WHO including Disability-Adjusted Life Years (DALYs), responsiveness, and financial fairness. Results: The existing measures that are frequently used to assess the adequacy of epilepsy care focus on structural or process factors whose relationship to outcomes are indirect and may vary across regions. The WHO measures are conceptually superior because of their breadth and connection to articulated and agreed upon outcomes for health systems. However, the WHO measures require data that are not readily available in developing countries and most developed countries as well. Conclusion: The epilepsy field should consider adopting the WHO measures in country assessments of epilepsy burden and healthcare performance whenever data permit. Efforts should be made to develop the data elements to estimate the measures.

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