A5052442045- Health Systems, Economic Evaluations, Quality of Life
- Global Health Care Issues
- Healthcare Policy and Management
- Healthcare cost, quality, practices
- Delphi Technique in Research
- Health and Medical Studies
- Health disparities and outcomes
- Obesity, Physical Activity, Diet
- Sociology and Education Studies
- Schizophrenia research and treatment
- Clinical practice guidelines implementation
- Migration, Aging, and Tourism Studies
- COVID-19 and Mental Health
- Mental Health Treatment and Access
- Pharmaceutical Economics and Policy
- Education Methods and Technologies
- Employment and Welfare Studies
- Pharmaceutical Practices and Patient Outcomes
- Psychiatric care and mental health services
- Physical Activity and Health
- Health Promotion and Cardiovascular Prevention
- Migration and Labor Dynamics
- Intergenerational Family Dynamics and Caregiving
- Social Policy and Reform Studies
- Behavioral Health and Interventions
Medical University of Vienna
2015-2024
St. Pölten University of Applied Sciences
2022
Maastricht University
2016
Vienna University of Economics and Business
2010-2013
Central Institute of Mental Health
1992
Chronic pain is among the most burdensome conditions. Its prevalence ranges between 12% and 30% in Europe, with an estimated 21% Austrian adults. The economic impact of chronic from a societal perspective, however, has not been sufficiently researched. This study aims to provide estimate costs for working-age adults Austria. It explores sex, number sites, self-reported severity, health literacy private insurance on associated pain.A bottom-up cost-of-illness was conducted based data...
Equitable access to health care is a goal subscribed in many European economies. But while growing body of literature studies socioeconomic inequalities service use, relatively little still known about medicine consumption. Against this background, study investigates the (socioeconomic) determinants use Austrian context.Multivariate logistic regressions were estimated based on Health Interview Survey, including representative information population above age 25 (n = 13 291) for 2006/2007. As...
Measuring objective resource-use quantities is important for generating valid cost estimates in economic evaluations. In the absence of acknowledged guidelines, measurement methods are often chosen based on practicality rather than methodological evidence. Furthermore, few (RUM) instruments focus resource use multiple societal sectors and their development process rarely described. Thorn colleagues proposed a stepwise approach to RUM instruments, which has been used developing questionnaires...
Equitable access to essential medicines is a major challenge for policy-makers world-wide, including Central and Eastern European countries. Member States of the Union situated in Europe have publicly funded pharmaceutical reimbursement systems that should promote accessibility affordability of, at least medicines. However, there no knowledge whether socioeconomic inequalities exist these Against this backdrop, study analyses determinants influence use prescribed non-prescribed eight...
Improving the efficiency of mental healthcare service delivery by learning from international best-practice examples requires valid data, including robust unit costs, which currently often lack cross-country comparability. The European ProgrammE in Costing, resource use measurement and outcome valuation for Use multi-sectoral National International health economic evaluAtions (PECUNIA) aimed to harmonize cost development. This article presents methodology set 36 externally validated,...
Abstract This article provides an overview of the organization formal long‐term care (LTC) systems for elderly in ten old and 11 new EU member states (MS). Generally, we find that main responsibility regulating LTC services is centralized half these countries, whereas remaining this typically shared between authorities at central level those regional or local levels both institutional home‐based care. Responsibilities planning capacities are jointly met by non‐central most countries. Access...
Long COVID-19 challenges health and social systems globally. International research finds major inequalities in prevalence healthcare utilization as patients describe difficulties with accessing care. In order to improve long-term outcomes it is vital understand any underlying access barriers, for which relevant evidence on long thus far lacking a universal system like Austria. This study aims comprehensively identify barriers facilitators faced by Austria explore potential socioeconomic...
Aims: Different methods have been used to analyze "object case" best-worst scaling (BWS). This study aims compare the most common statistical analysis for object case BWS (i.e. count analysis, multinomial logit, mixed latent class and hierarchical Bayes estimation) their potential advantages limitations based on an applied example. Methods: Data were analyzed using five methods. Ranking results compared among methods, that take respondent heterogeneity into account presented specifically. A...
Mental health conditions affect aspects of people's lives that are often not captured in common health-related outcome measures. The OxCAP-MH self-reported, quality life questionnaire based on Sen's capability approach was developed the UK to overcome these limitations. aim this study develop a linguistically and culturally valid German version questionnaire.Following forward back translations, wording underwent cultural linguistic validation with input from sample 12 native speaking mental...
To inform allocation decisions in any healthcare system, robust cost data are indispensable. Nevertheless, recommendations on the most appropriate valuation approaches vary or nonexistent, and no internationally accepted gold standard exists. This costing analysis exercise aims to assess impact implications of different calculation methods sources based unit general practitioner (GP) consultations Austria.Six for were explored, following 3 Austrian methodological (AT-1, AT-2, AT-3) applied...
Increasing healthcare costs require evidence-based resource use allocation for which assessing rigorously and comparably is crucial. Harmonized cross-country costing methods evaluating interventions from a societal perspective are lacking. This study presents the development process content of service templates developed as part European project PECUNIA. The six developmental steps towards technological readiness included (1) common conceptual framework review methodological issues, (2)...
Background: To enhance usage of health technology assessment (HTA) in decision-making, it is important to prioritise barriers and facilitators the uptake HTA. This study aims quantify compare relative importance regarding use HTA several European countries.Methods: A survey containing two best-worst scaling (BWS) object case studies (i.e. facilitators) were conducted among 136 policy makers researchers from Netherlands, Germany, France, United Kingdom. Hierarchical Bayes analysis generated...
Abstract Purpose Current RCT and meta-analyses have not found any effect of community treatment orders (CTOs) on hospital or social outcomes. Assumed positive impacts CTOs quality-of-life outcomes reduced costs are potentially in conflict with patient autonomy. Therefore, an analysis the cost consequences was conducted within OCTET trial. Methods The economic evaluation carried out comparing patients ( n = 328) psychosis discharged from involuntary hospitalisation either to under a CTO (CTO...
A comprehensive, comparable assessment of the economic disease burden and value relevant care forms a major challenge in case mental diseases. This study aimed to inform development resource use measurement (RUM) instrument harmonized reference unit costs valid for multi-sectoral multi-national cost assessments health diseases as part European PECUNIA project.An iterative, multi-methods approach was applied. Systematic literature reviews appended with national grey searches six countries...
Although Health Technology Assessment (HTA) is increasingly used to support evidence-based decision-making in health care, several barriers and facilitators for the use of HTA have been identified. This best-worst scaling (BWS) study aims assess relative importance selected uptake studies Austria.A BWS object case survey was conducted among 37 experts Austria facilitators. Hierarchical Bayes estimation applied, with count analysis as sensitivity analysis. Subgroup analyses were also...