Anthony, Bethany Fern 
ORCID: 0000-0002-2593-1069, Disbeschl, Stefanie, Goulden, Nia, Hendry, Annie, Hiscock, Julia ORCID: 0000-0002-8963-2981, Hoare, Zoe, Roberts, Jessica, Rose, Jan, Surgey, Alun, Williams, Nefyn Howard ORCID: 0000-0002-8078-409X et al (show 4 more authors)
(2023)
Earlier cancer diagnosis in primary care: a feasibility economic analysis of ThinkCancer!
BJGP open, 7 (1).
BJGPO.2022.0130-.
Abstract
<h4>Background</h4>UK cancer survival rates are much lower compared with other high-income countries. In primary care, there are opportunities for GPs and other healthcare professionals to act more quickly in response to presented symptoms that might represent cancer. ThinkCancer! is a complex behaviour change intervention aimed at primary care practice teams to improve the timely diagnosis of cancer.<h4>Aim</h4>To explore the costs of delivering the ThinkCancer! intervention to expedite cancer diagnosis in primary care.<h4>Design & setting</h4>Feasibility economic analysis using a micro-costing approach, which was undertaken in 19 general practices in Wales, UK.<h4>Method</h4>From an NHS perspective, micro-costing methodology was used to determine whether it was feasible to gather sufficient economic data to cost the ThinkCancer!<h4>Intervention</h4>Owing to the COVID-19 pandemic, ThinkCancer! was mainly delivered remotely online in a digital format. Budget impact analysis (BIA) and sensitivity analysis were conducted to explore the costs of face-to-face delivery of the ThinkCancer! intervention as intended pre-COVID-19.<h4>Results</h4>The total costs of delivering the ThinkCancer! intervention across 19 general practices in Wales was £25 030, with an average cost per practice of £1317 (standard deviation [SD]: 578.2). Findings from the BIA indicated a total cost of £34 630 for face-to-face delivery.<h4>Conclusion</h4>Data collection methods were successful in gathering sufficient health economics data to cost the ThinkCancer!<h4>Intervention</h4>Results of this feasibility study will be used to inform a future definitive economic evaluation alongside a pragmatic randomised controlled trial (RCT).
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | early cancer diagnosis, feasibility studies, general practice, health care economics and organizations, primary health care |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Population Health |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 30 Jan 2023 17:39 |
| Last Modified: | 16 Sep 2023 12:22 |
| DOI: | 10.3399/bjgpo.2022.0130 |
| Open Access URL: | https://doi.org/10.3399/BJGPO.2022.0130 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3167974 |
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