Using Cost-Effectiveness Analysis in Mixed Methods Research: An Evaluation of an Integrated Care Program for Frequently Hospitalized Older Adults in Singapore


Journal Article

© The Author(s) 2019. Traditional evaluation techniques are often not suitable for studying health interventions operating in real-world settings, particularly when interventions operate through complex causal pathways. We describe a mixed methods design for evaluating an integrated home care and social support service targeting mature and older adults (55+ years) in Singapore. Here, nurses and community health workers visit patients’ homes to address health and social needs while facilitating linkages to community-based services and providing caregiver support. Our mixed methods evaluation plan is composed of three components: quantitative comparison of hospital-based service utilization, cost-effectiveness analysis, and qualitative investigation into the experiences of patients, caregivers, and individuals who declined services. This article contributes a description of how cost-effectiveness analysis adds value when incorporated into mixed methods studies.

Full Text

Duke Authors

Cited Authors

  • Penkunas, MJ; Matchar, DB; Wong, CH; Liu, C; Chan, AWM

Published Date

  • January 1, 2019

Published In

Electronic International Standard Serial Number (EISSN)

  • 1558-6901

International Standard Serial Number (ISSN)

  • 1558-6898

Digital Object Identifier (DOI)

  • 10.1177/1558689819844838

Citation Source

  • Scopus