1 / 10

Making an economic case for investment in art for health and wellbeing

Making an economic case for investment in art for health and wellbeing. David McDaid (1,2) (1) London School of Economics and Political Science and (2) WHO European Observatory on Health Systems and Policies. Culture, Health and Wellbeing International Conference, Bristol 24 June 2013

kyrie
Download Presentation

Making an economic case for investment in art for health and wellbeing

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Making an economic case for investment in art for health and wellbeing David McDaid (1,2) (1) London School of Economics and Political Science and (2) WHO European Observatory on Health Systems and Policies. Culture, Health and Wellbeing International Conference, Bristol 24 June 2013 E-mail: d.mcdaid@lse.ac.uk

  2. Four key economic questions to inform decision making • The costs of inaction: What are the economic consequences of not addressing health problems? • The costs of action: What would it cost to intervene by promotion, prevention, treatment and recovery? • The cost-effectiveness of action: What is the balance between cost of intervention and better outcomes, e.g. health status, improved quality of life, employment or educational performance etc? • The levers for change: What economic and other incentives can encourage more use of those interventions that are thought to be cost-effective and less use of those interventions which are not?

  3. Importance for decision making • Importance for health and wellbeing boards and CCGs of seeing whether there is a return on investment. • Helping to allow arts in health to be judged on a level playing field vis a vis health care interventions by assessing economic case • Helping to assess economic impacts beyond health systems – v important for encouraging cross sectoral investment • Economic techniques can be used to look at the short, mid and long term costs and benefits of effective interventions, including the cost of scale up.

  4. Challenges in evaluation • Issues of timing: Ideally prospective analysis alongside effectiveness evaluation • Musical Pathways: retrospective analysis restricted to cost of intervention and some impacts on resource use in justice system. Economic analysis might be powerful if possible to look at long term outcomes for participants, but difficult to do. • Reading and Chronic Pain Project: Prospective development of bespoke instrument to capture resource consequences as well as costs of intervention. Able to pilot tool to see how feasible it is to use; any changes needed etc. • Arts on Prescription: Restrospective analysis of costs of intervention and then model potential cost effectiveness of intervention if achieves improvements in management of depression against alternative treatment pathways.

  5. Economic evaluation The effectiveness question: Does this intervention work? The economic question: Is it worth it?

  6. Two Basic Needs: (A) Costs and Outcomes; (B) 2+ Alternatives Costs for intervention Z Outcomes (e.g Quality of Life Years (QALYs) for intervention Z Costs for intervention X Outcomes (e.g. Quality of Life Years (QALYs) for intervention X

  7. Modelling benefits of AoP McDaid & Park, 2013

  8. Modelling the economic case for Arts on Prescription • Looked at use of Arts on Prescription as an initial alternative approach to low intensity Individual Access to Psychological Therapies • Resources invested in AoP from bespoke questionnaires; valued using actual unit costs wherever possible • From NHS perspective would need to achieve a success rate of 37.5% in recovery from depression (PHQ-9 scores below 10) in order to have cost per QALY below £20,000. • From societal perspective if achieved a success rate of 16% would be cost saving compared to low intensity IAPT • Lots of issues around long term effectiveness of intervention; small scale AoP study certainly suggests potential for achieving these recovery rates McDaid & Park, 2013

  9. Importance of engagement rates McDaid & Park, 2013

  10. To sum up • Economic arguments can be very powerful and can reinforce health and other arguments for use of arts. Budget holders will; be interested in these issues. • Economic arguments have made an important impact in health policy in England (and elsewhere); level playing field issues • Many different ways to build economics into evaluation ranging from resource and costing analysis to economic evaluations • Ideally these can be built into evaluation protocols alongside effectiveness evaluations • Range of modelling techniques can be use to look at longer term outcomes

More Related