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Publication Detail
Evaluating an innovative approach to the diagnostic processes for chronic eye disease: a feasibility study
  • Publication Type:
  • Authors:
    Turner SJW, Vasilakis C, Utley M, Morris S, Kotecha A, Foster P, Fulop N
  • publication date:
  • Pagination:
    1, 63
  • Commisioning body:
    Special Trustees of Moorfields Eye Hospital
The aim of this study was to develop a framework that would support the evaluation of new ways of diagnosing and monitoring chronic eye disease being planned and implemented by a large NHS hospital. The study involved interviews with a range of health care professionals within the Trust, observation of glaucoma outpatient clinics and related meetings, analysis of routinely collected data, and planning an economic analysis to evaluate the cost and cost-effectiveness of the new service. The information used to inform this study was collected between February 2013 and June 2014. The framework highlights three areas that should be taken into account when evaluating innovation: (1) organisational context, (2) operational impact, and (3) cost and cost effectiveness relative to existing services. In relation to organisational context, those evaluating innovation should seek to understand how different professional groups are involved in, and affected by, the implementation of change and aim to identify the underlying social and organisational factors that may inhibit or support the implementation of innovation. Evaluation should also aim to capture patients’ perceptions of existing services and proposed changes to services and how changes to the delivery of services may affect interactions between patients and clinical staff. From an operational perspective, quantitative analysis should aim to provide estimates of the level of improvement required to meet the challenges presented by anticipated increases in the burden of disease and the likely impact of the suggested changes on patient access metrics. To undertake an economic analysis of the new service, researchers should consider the main cost components of the new and existing services, how to collect resource use and unit cost data for each of these cost components, and a range of potential outcome measures.
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Applied Health Research
Applied Health Research
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