Health reform is "sustained, purposive change to improve the efficiency, equity, and effectiveness of the health sector with the goal of improving health status, obtaining greater equity, and obtaining greater cost-effectiveness for services provided" [ 1].
However, participants were not sure as to its cost effectiveness for staff and service providers.
Research that can inform evidence-based practice and demonstrate improved outcomes and cost effectiveness for a range of services and interventions in palliative care is therefore required [ 9- 11].
Consequently, health policy makers may confront a dilemma between their responsibility to reduce neonatal mortality rateson the one hand and the ambiguity about cost-effectiveness of services provided for this group of neonates in view of their limited health budget on the other hand.
Various aspects of the intervention may be evaluated depending on the requirements and needs of the setting, including attainment of identified goals, effectiveness of the intervention over time, satisfaction with services for clients and families, and cost-effectiveness of services.
The allocation of service vouchers could be based on evidence of cost effectiveness of particular services or preventative care for chronic conditions and be may be able to provide sufficient incentives for consumers to access appropriate care from their provider of choice.
Both the costs and cost-effectiveness of services will depend on the productivity of physiotherapist time.
Freelancers are increasingly in demand as companies value the flexibility and cost effectiveness of their services.
Main outcome measures Incremental costs, quality adjusted life years (QALYs), and cost effectiveness ratios for the Find and Treat service.
