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Integrating Qualitative Techniques in Model Development: A Case Study Using the Framework Approach

Author

Listed:
  • Samuel N. Frempong

    (University of Birmingham)

  • Clare Davenport

    (University of Birmingham)

  • Andrew J. Sutton

    (University of Leeds
    NHIR Diagnostic Evidence Co-operative)

  • Justice Nonvignon

    (University of Ghana)

  • Pelham Barton

    (University of Birmingham)

Abstract

Background Despite their potential, there is limited uptake of formal qualitative methods in model development by modellers and health economists. The aim of this case study was to highlight in a real-world context how a qualitative approach has been applied to gain insight into current practice (delineating existing care pathways) for typhoid fever in Ghana, which can then assist in model structure conceptualisation in a model-based cost-effectiveness analysis. Methods The perspectives of a range of healthcare professionals working in different settings and across different practices in the Eastern region of Ghana were captured with a self-administered survey using open-ended questions and analysed using the framework method. Results A total of 51 completed questionnaires were retrieved representing a 73% response rate. It was found that two main care pathways for typhoid fever exist in Ghana and there was no consensus on how a new test might be applied to the existing pathways. Conclusion The two settings in Ghana have different care pathways and any cost-effectiveness analysis should consider the alternative pathways separately. This study demonstrated that framework analysis is a qualitative methodology that is likely to be accessible and feasible across a wide range of health economic settings.

Suggested Citation

  • Samuel N. Frempong & Clare Davenport & Andrew J. Sutton & Justice Nonvignon & Pelham Barton, 2018. "Integrating Qualitative Techniques in Model Development: A Case Study Using the Framework Approach," Applied Health Economics and Health Policy, Springer, vol. 16(5), pages 723-733, October.
    • Handle: RePEc:spr:aphecp:v:16:y:2018:i:5:d:10.1007_s40258-018-0411-9
    DOI: 10.1007/s40258-018-0411-9
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    References listed on IDEAS

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    1. Briggs, Andrew & Sculpher, Mark & Claxton, Karl, 2006. "Decision Modelling for Health Economic Evaluation," OUP Catalogue, Oxford University Press, number 9780198526629.
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    1. Samuel N. Frempong & Andrew J. Sutton & Clare Davenport & Pelham Barton, 2020. "Early Economic Evaluation to Identify the Necessary Test Characteristics of a New Typhoid Test to be Cost Effective in Ghana," PharmacoEconomics - Open, Springer, vol. 4(1), pages 143-157, March.

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