Next Article in Journal
Cost of Care and Pattern of Medical Care Use in the Last Year of Life among Long-Term Care Insurance Beneficiaries in South Korea: Using National Claims Data
Next Article in Special Issue
A Systematic Review of Economic Evaluations of Health-Promoting Food Retail-Based Interventions
Previous Article in Journal
Stepped-Wedge Cluster Randomised Trial of Social Prescribing of Forest Therapy for Quality of Life and Biopsychosocial Wellbeing in Community-Living Australian Adults with Mental Illness: Protocol
Previous Article in Special Issue
What Is the Best Practice Method for Quantifying the Health and Economic Benefits of Active Transport?
Article

Use of Economic Evidence When Prioritising Public Health Interventions in Schools: A Qualitative Study with School Staff

1
Bristol Medical School, University of Bristol, Bristol BS8 1NU, UK
2
Institute of Applied Health Research, University of Birmingham, Birmingham B15 2TT, UK
3
Health Services Management Centre, School of Social Policy, University of Birmingham, Birmingham B15 2RT, UK
4
Services for Education, Birmingham B7 4AX, UK
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(23), 9077; https://doi.org/10.3390/ijerph17239077
Received: 30 September 2020 / Revised: 23 November 2020 / Accepted: 25 November 2020 / Published: 4 December 2020
Schools are an ideal setting to deliver public health interventions, yet there are competing obligations that could limit their implementation. This study aimed to examine the decision making process and explore what evidence informs prioritisation of public health interventions in this setting. Semi-structured interviews were conducted with 14 staff in seven UK schools between November 2017 and March 2018. Participants were recruited from schools participating in The Birmingham Daily Mile trial and comprised leadership staff, teachers, and pastoral staff. Analyses used a constant comparison approach to explore the prioritisation process and schools’ use of economic evidence. Teachers felt that they had little decision making influence in regard to public health interventions, with this falling on leadership staff. Participants perceived tension between delivering academic subjects and public health initiatives and thought proven impact was important to justify the opportunity cost. Evidence did not appear to be routinely used, and participants were unaware of cost-effectiveness analyses, but thought it could be a useful tool. This study shows that schools face challenges in balancing the academic, health, and wellbeing needs of children. There is a need for targeted evidence that includes appropriate costs and outcomes and meets school decision makers’ needs. View Full-Text
Keywords: schools; economic evaluation; qualitative research; decision making; cost-effectiveness schools; economic evaluation; qualitative research; decision making; cost-effectiveness
Show Figures

Figure 1

MDPI and ACS Style

Breheny, K.; Frew, E.; Williams, I.; Passmore, S.; Coast, J. Use of Economic Evidence When Prioritising Public Health Interventions in Schools: A Qualitative Study with School Staff. Int. J. Environ. Res. Public Health 2020, 17, 9077. https://doi.org/10.3390/ijerph17239077

AMA Style

Breheny K, Frew E, Williams I, Passmore S, Coast J. Use of Economic Evidence When Prioritising Public Health Interventions in Schools: A Qualitative Study with School Staff. International Journal of Environmental Research and Public Health. 2020; 17(23):9077. https://doi.org/10.3390/ijerph17239077

Chicago/Turabian Style

Breheny, Katie, Emma Frew, Iestyn Williams, Sandra Passmore, and Joanna Coast. 2020. "Use of Economic Evidence When Prioritising Public Health Interventions in Schools: A Qualitative Study with School Staff" International Journal of Environmental Research and Public Health 17, no. 23: 9077. https://doi.org/10.3390/ijerph17239077

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop