NEW HSAC PUBLICATIONS

A systematic review of economic evaluations for tobacco control programs ( PDF 3MB )

A systematic review of the literature

Smoking causes a significant health and economic burden in New Zealand. The clinical benefit of tobacco control programs is clear, however, less is known about the cost-effectiveness of such interventions. The aim of this study was to systematically review economic evaluations of public health tobacco control programs. A systematic literature search was undertaken of medical and health technology assessment websites and studies were included based on pre-specified inclusion and exclusion criteria. Each study was critically appraised using a methodology checklist for economic evaluations of health interventions. The results and limitations of each included study are described in this report.
 

The effectiveness of non-pharmacological interventions for behavioural and psychological symptom management for people with dementia in residential care settings. ( PDF 2MB )

A systematic review of the literature

This systematic review provides a summary of the evidence on the effectiveness of different therapeutic interventions for the management of behavioural and psychological symptoms of dementia (BPSD) in long-term residential care settings (rather than ‘family home’ or acute care settings). For carers in residential facilities, the effective management of specific behavioural and psychological symptoms attributed to dementia is important. While pharmacological interventions have been used extensively to treat BPSD, increasing concerns over their efficacy and significant side-effects have resulted in calls for non-pharmacological approaches to be prioritised as first-line interventions. This report brings together findings from systematic reviews, randomised controlled trials, and other epidemiological studies. The methods that have been trialled in residential care settings to manage BPSD are diverse.

 

A comparison of gene expression profiling tests for breast cancer ( PDF 1MB )

Systemtatic review update

The objectives of this report were to (a) summarise the original systematic review published by Marchionni, L., Wilson, R. F., Marinopoulos, S., Wolff, A. C., Parmigiani, G., Bass, E. B., et al. (2008). Impact of Gene Expression Profiling Tests on Breast Cancer Outcomes. Baltimore, MD. Prepared by: The Johns Hopkins University Evidence-based Practice Center, (b) update the review search to add evidence from the period 2007-2009, (c) report on the content and quality of any additional recent studies (d) describe and review the progress of two seminal trials relating to the potential clinical utility of two gene profiling tests.

 

Systematic review of systems of palliative care ( PDF 1MB )

A systematic review of the literature

The purpose of this systematic review is to review the existing published evidence relating to the effectiveness of systems or programs of palliative care provision possible for implementation at a national, state or provincial level. The review focuses on interventions that are comprehensive and multifaceted, with an emphasis on the structural/organisational aspects of service provision. The report includes a brief discussion of the feasibility of conducting a New Zealand-focused economic evaluation based on the available evidence.

Interventions to mitigate the effects of low health literacy ( PDF 2MB )

A systematic review of the literature

The pupose of this systematic review is to provide a summary of the existing published evidence relating to interventions aimed at mitigating the effects of low health-related literacy. The scope of this review encompasses a range of interventions and intervention components (rather than one 'standard' intervention) and multiple outcomes. The different interventions were conceptually classified into three partially overlapping categories - (1) Interventions aimed at mitigating the effects of low health literacy, (2) Interventions aimed at enhancing provider-patient interaction at the point of care or 'care interface' and (3) Interventions aimed at enabling direct health literacy skill building. The main organising principles and themes are presented and discussed.