Mark Sculpher
University of York
Publications 505
#1Paul RevillH-Index: 15
#2Marc SuhrckeH-Index: 35
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#1Jane Walker (University of Oxford)H-Index: 29
#2Katy Burke (University of Oxford)H-Index: 2
Last.Michael Sharpe (University of Oxford)H-Index: 73
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Prolonged acute hospital stays are a major problem for older people and for health services. Failure to effectively manage the psychological and social aspects of illness is an important cause of prolonged hospital stays. Proactive Psychological Medicine (PPM) is a new way of providing psychiatry services to medical wards. PPM is proactive, focussed, intensive and integrated with medical care. A major aim of PPM is to reduce the time older people spend in hospital because of unmanaged psychologi...
#1Simon Walker (Ebor: University of York)H-Index: 27
#2Susan Griffin (Ebor: University of York)H-Index: 24
Last.Mark Sculpher (Ebor: University of York)H-Index: 75
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In most societies, resources are distributed by individuals acting in markets and by governments through some form of collective decision-making process. Economic evaluation offers a set of tools to inform collective decisions by examining the resource requirements and outcomes of alternative policies. The ‘societal perspective’ has been advocated, but less consideration has been given to what this should include and its practical implementation. This paper presents a framework for economic eval...
1 CitationsSource
#1Andrew PhillipsH-Index: 112
#2Valentina CambianoH-Index: 21
Last.Paul Revill (Ebor: University of York)H-Index: 15
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INTRODUCTION As prevalence of undiagnosed HIV declines, it is unclear whether testing programmes will be cost-effective. To guide their HIV testing programmes, countries require appropriate metrics that can be measured. The cost-per-diagnosis is potentially a useful metric. METHODS We simulated a series of setting-scenarios for adult HIV epidemics and ART programmes typical of settings in southern Africa using an individual-based model and projected forward from 2018 under two policies: (i) a mi...
#1James Love-KohH-Index: 2
#2Simon WalkerH-Index: 27
Last.Mark SculpherH-Index: 75
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A health benefits package (HBP) defines the list of publicly provided health services offered by a country’s health system. HBPs are seen as an important component toward achieving universal health coverage in low- and middle-income countries. This paper provides an overview of the main considerations that arise when designing and implementing an HBP. The first set of issues relate to the governance of HBPs. The processes for designing and updating the HBP should be transparent, consistent, stab...
#1Joanna Emerson (Tufts Medical Center)H-Index: 1
#2Ad Panzer (Tufts Medical Center)H-Index: 1
Last.David D. Kim (Tufts Medical Center)H-Index: 11
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Background The iDSI reference case, originally published in 2014, aims to improve the quality and comparability of cost-effectiveness analyses (CEA). This study assesses whether the development of the guideline is associated with an improvement in methodological and reporting practices for CEAs using disability-adjusted life-years (DALYs). Methods We analyzed the Tufts Medical Center Global Health CEA Registry to identify cost-per-DALY averted studies published from 2011 to 2017. Among each of 1...
1 CitationsSource
#1Beth Woods (Ebor: University of York)H-Index: 11
#2Eleftherios Sideris (Ebor: University of York)H-Index: 3
Last.Mark Sculpher (Ebor: University of York)H-Index: 75
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Abstract Background Results from large randomised controlled trials have shown that adding docetaxel to the standard of care (SOC) for men initiating hormone therapy for prostate cancer (PC) prolongs survival for those with metastatic disease and prolongs failure-free survival for those without. To date there has been no formal assessment of whether funding docetaxel in this setting represents an appropriate use of UK National Health Service (NHS) resources. Objective To assess whether administe...
1 CitationsSource
#1Oriana Ciani (University of Exeter)H-Index: 15
#2David Epstein (Ebor: University of York)H-Index: 27
Last.Mark Sculpher (Ebor: University of York)H-Index: 75
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Fenestrated endovascular aneurysm repair (fEVAR) is a new approach for complex abdominal aortic aneurysms, limited to a few specialist centers, with limited evidence base. We developed a cost-effectiveness decision model of fEVAR compared to open surgical repair (OSR) to investigate the likely direction of costs and benefits and inform further research projects on this technology. A systematic review with meta-analysis and a four-state Markov model were used to estimate the cost-effectiveness of...
#1Peter J. Neumann (Tufts University)H-Index: 81
#2David D. Kim (Tufts University)H-Index: 11
Last.Gillian D Sanders (Duke University)H-Index: 43
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Objectives. In 2016, the Second Panel on Cost-effectiveness in Health and Medicine updated the seminal work of the original panel from 2 decades earlier. The Second Panel had an opportunity to refl...
11 CitationsSource
#1Louise Brown (UCL: University College London)H-Index: 10
#2Hashim U. Ahmed (UCL: University College London)H-Index: 46
Last.Mark Emberton (UCL: University College London)H-Index: 64
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Background: Men with suspected prostate cancer usually undergo transrectal ultrasound (TRUS)-guided prostate biopsy. TRUS-guided biopsy can cause side effects and has relatively poor diagnostic accuracy. Multiparametric magnetic resonance imaging (mpMRI) used as a triage test might allow men to avoid unnecessary TRUS-guided biopsy and improve diagnostic accuracy. Objectives: To (1) assess the ability of mpMRI to identify men who can safely avoid unnecessary biopsy, (2) assess the ability of the ...
10 CitationsSource