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  • 1.
    Ghani, Zartashia
    et al.
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Jarl, Johan
    Lunds universitet, SWE.
    Sanmartin Berglund, Johan
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Andersson, Martin
    Blekinge Institute of Technology, Faculty of Engineering, Department of Industrial Economics.
    Anderberg, Peter
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    The Cost Effectiveness of M-health Interventions for Older Adults: Protocol for a Systematic Review2018Manuscript (preprint) (Other academic)
    Abstract [en]

    Background: Many studies reported effectiveness of mhealth interventions targeting middle aged and older adults to improve healthcare delivery process, efficacy and management of chronic diseases. However, the knowledge about their cost-effectiveness is important to implement mhealth interventions at large scale for proper allocation of scarce resources. This systematic review will summarize the results from identified studies for the cost effectiveness of mhealth interventions aimed for middle aged and older adults.

    Method: mhealth interventions aimed to improve healthcare delivery process, efficacy and delivering training will be included in this systematic review. A comprehensive electronic search strategy will be used to identify health economic evaluations, published since 2007, and indexed in Pubmed, Scopus and CINAHL. The search strategy will include terms (and synonyms) for the following mhealth devices: mobile phone, smartphone, mhealth. Middle aged and older adults will be used to identify all mhealth interventions introduced to middle aged and older adults. Terms such as economic evaluation, cost effectiveness, cost utility etc will be used to identify economic evaluations of all mhealth interventions.

    Discussion: This systematic review will report evidence on cost effectiveness of mhealth interventions targeting middle aged and older adults.

  • 2.
    Ghani, Zartashia
    et al.
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Rydell, Helena
    Department of Clinical Sciences, Lund, SWE.
    Jarl, Johan
    Department of Clinical Sciences, Lund, SWE.
    THE EFFECT OF PERITONEAL DIALYSIS ON LABOR MARKET OUTCOMES  COMPARED WITH INSTITUTIONAL HEMODIALYSIS2019In: Peritoneal Dialysis International, ISSN 0896-8608, E-ISSN 1718-4304, Vol. 39, no 1, p. 59-65Article in journal (Refereed)
    Abstract [en]

     ♦ Background: The aim of this study is to compare the impact of peritoneal dialysis (PD) and institutional hemodialysis (IHD), the 2 most common dialysis modalities, on employment, work income, and disability pension in Sweden.  ♦ Methods: Included in this study were 4,734 patients in IHD and PD, aged 20 – 60 years, starting treatment in Sweden during 1995 – 2012, and surviving the first year of dialysis therapy. Both “intention to treat” and “on treatment” analyses were performed by including transplant patients into the former and censoring them at the date of transplant in the latter analysis. A reduced bias treatment effect of PD vs IHD on labor market outcomes was estimated while accounting for non-random selection into treatment.  ♦ Results: Peritoneal dialysis was found to be associated with a 4-percentage-point increased probability of employment compared with IHD in the “on treatment” analysis. Also, PD was associated with a reduced disability pension by 6 percentage points, as well as increased work income (EUR 3,477 for employed) compared with IHD during the first year of treatment. The “intention to treat” analysis tended to give higher effect sizes compared with “on treatment.”  ♦ Conclusions: The results indicate that PD is associated with a treatment advantage over IHD in terms of increased employment, work income, and reduced disability pension in the Swedish population after controlling for non-random selection into treatment.

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