Logo_AIHTA
  • Deutsch
  • Contact
    • Imprint
      • Privacy Notice
        • Newsletter
          • Sitemap
            Menu_button
            • News
              • About us
                • Research areas
                  • Research Projects
                    • Publications
                      • Search
                        • Synopsis of current research projects
                          • Synopsis of completed research projects
                            • Decision Support Documents for the Austrian Appraisal Board
                              • HTA-Information Service Rapid Reviews
                                • Horizon Scanning in Oncology – Prioritisation of new and emerging oncologic drugs
                                  • Horizon Scanning of Medicines - Reports and Fact Sheets
                                    • Horizon Scanning in Oncology – support for a budget-impact-calculation
                                      • Evaluation of individual medical procedures - Reports
                                        • All projects in an overview
                                          Video
                                          Video: What is HTA?    
                                          • Home
                                          • Research Projects
                                          • Synopsis of completed research projects
                                          • Effectiveness of national strategies for non-communicable diseases

                                          Effectiveness of national strategies for non-communicable diseases

                                          Adobestock-386433869-von-andreas
                                          Research area: Prevention and screening

                                          Project team: Lucia Gassner

                                          Duration: April 2021 – November 2021
                                          Language: English with German summary
                                          Suggested by: Federal Ministry of Social Affairs, Health, Care and Consumer Protection

                                          Publication: HTA Project Report No. 139:  https://eprints.aihta.at/1349/

                                          Background: Non-communicable diseases (NCD) are conditions that include, e.g., diabetes, cardiovascular diseases, cancer, chronic respiratory diseases, and mental disorders. These diseases account for 86 per cent of all deaths and 77 per cent of disease burden in the WHO European Region [1].

                                          Many western countries apply strategies to prevent and manage NCDs in order to improve the care for chronically ill people and extend the number of healthy life years (HLY), i.e., the number of years that a person is expected to continue to live in a healthy condition (without limitation in functioning and disability) [2]. The ten Austrian health targets, developed in 2012, aim to prolong the HLY of all people living in Austria within 20 years [3]. Austria significantly lags behind other countries in terms of healthy life years: In 2019, the number of HLY at birth was estimated at 58 years for women and 56.7 years for men in Austria. In contrast, the mean number of HLY in the European Union is 65.1 for women and 64.2 for men [4].

                                          Therefore, the question arises which national strategies to prevent and manage NCDs are used in different countries and which specific interventions/programmes are implemented and evaluated. The analysis focuses on diabetes type II, cardiovascular diseases, chronic respiratory diseases, and depression.

                                          Aim of the project: The project aims

                                          • to provide an overview of national strategies for preventing and managing NCDs (diabetes type II, cardiovascular diseases, chronic respiratory diseases, depression) in selected (Western industrialised) countries and their implementation, and
                                          • to summarise evaluation results for specific programmes/interventions/measures of the identified national strategies concerning the mentioned NCDs.

                                          Research questions (RQ): The following research questions will be answered:

                                          RQ1: Which national strategies/policies (at a macro level) are in place in Western industrialised countries in relation to the aforementioned NCDs and their risk factors?

                                          RQ2: What information is available on the implementation and implementation process? Which specific programmes/interventions/measures (at a micro level, e.g., disease management programmes) are described in the national strategies?

                                          RQ3: Which evaluation results of these programmes/interventions/measures (e.g., on implementation, effectiveness) can be summarised?

                                          Methods: These three research questions will be answered using the following methods:

                                          RQ1: Mapping of national strategies (at a macro level) in Western industrialised countries in relation to the above mentioned NCDs and their risk factors

                                          • Systematic hand search for national strategies/policies addressing the four NCDs mentioned above (e.g. in PubMed, Google Scholar, TRIP database, WHO, OECD, websites of ministries of health and public health institutions)
                                          • If applicable, contacting experts to identify relevant national strategies
                                          • Tabular presentation and description of the identified national strategies on country level (e.g. title, year, indications, focus [prevention, management], objectives)

                                          RQ2: Information on the implementation (process) and specific programmes/interventions/measures (at a micro level, e.g., disease management programmes) of the national strategies identified in RQ1

                                          • Analysis of the national strategies (and, if applicable, further documents) concerning information on the (planned) implementation (process) (e.g. time frame, actors involved, organisational framework, monitoring) and tabular presentation
                                          • Tabular presentation and description of the specific programmes/interventions/measures mentioned in the national strategies (e.g. target groups, professional groups involved, setting, programme content, duration/scope of the intervention, objectives)
                                          • Preparation of a ‘shortlist’ (selection) of potentially relevant programmes/interventions/measures by country, which will be analysed in more detail in the context of RQ3

                                          RQ3: Evaluation results of the programmes/interventions/measures

                                          • Targeted country-specific hand search for evaluation reports and/or published studies on the programmes/interventions/measures selected in the ‘shortlist’
                                          • If applicable, contacting relevant experts (from ministries, etc.) to identify relevant evaluation reports
                                          • If applicable, systematic (country-specific) search for evaluations of measures
                                          • Assessment of the evaluation reports’ quality using Risk of Bias tools (depending on the study design)
                                          • Data extraction and synthesis

                                          Inclusion criteria for relevant evaluation reports (RQ1+2)

                                          Description

                                          Project scope

                                          Type of publication

                                          National strategies and policies, which address one of the four NCDs (diabetes type II, cardiovascular diseases, chronic pulmonary/respiratory diseases, depression)

                                          Outcomes

                                          • main characteristics (e.g., title, year, indications, focus, aims)
                                          • information on the (planned) implementation process (e.g., time frame, involved stakeholders, organisational framework conditions, monitoring)
                                          • specific programmes/interventions/measures (e.g., target groups, professional groups involved, setting, programme content, duration/scope of intervention, aims)

                                          Settings

                                           

                                          Western industrialised countries (Europe, North America, Australia, New Zealand)

                                          Languages

                                          English, German

                                          Inclusion criteria for relevant evaluation reports (RQ3)

                                          Description

                                          Project scope

                                           Intervention

                                          Specific programmes/interventions/measures (e.g., Disease management programme [DMP], Case management, Prevention programme) for adults suffering from one of the four NCDs (diabetes type II, cardiovascular diseases, chronic pulmonary/respiratory diseases, depression) or adults with risk factors of these diseases

                                          • not: measures of control and design outside the health care system (e.g., taxation of sugary drinks)

                                          Outcomes

                                          • Effectiveness outcomes (e.g., mortality, morbidity, hospitalisation, quality of life, health care utilisation, patient satisfaction, symptoms improvement)
                                          • Implementation outcomes (e.g., implementation status, achievement of programme targets, acceptance)

                                          Study design

                                          Evaluation studies, reports and published studies

                                          Settings

                                           

                                          Western industrialised countries (Europe, North America, Australia, New Zealand)

                                          Languages

                                          English, German

                                          The workflow is organised according to the principle of dual control (LG, IR), and the results are subject to internal and external reviewers.

                                          Schedule/milestones

                                          Period

                                          Tasks

                                          April 2021

                                          Scoping, project protocol

                                          May to June 2021

                                          RQ1:

                                          • Systematic hand search for strategies/policies
                                          • If applicable, contacting experts
                                          • Tabular presentation and description of identified national strategies at country level

                                          Milestone 1: Table of national strategies at country level

                                          June to July 2021

                                          RQ2:

                                          • Analysis of the national strategies concerning the implementation process
                                          • Tabular presentation/description of specific programmes/interventions mentioned in the strategies
                                          • Shortlist (selection) of potentially relevant programmes/interventions by country

                                          Milestone 2: ‘Shortlist’ of specific programmes/interventions

                                          July to September 2021

                                          RQ3:

                                          • Targeted country-specific hand search for evaluation reports on the selected programmes/interventions
                                          • If applicable, contacting experts
                                          • Quality assessment of evaluation reports, data extraction and synthesis

                                          Milestone 3: Table of evaluation results of specific programmes/ interventions by NCDs

                                          October 2021

                                          Finalisation of the report, internal and external review

                                          November 2021

                                          Layout and publication of the report

                                          References

                                          [1] WHO. https://www.euro.who.int/de/health-topics/noncommunicable-diseases/ncd-background-information/what-are-noncommunicable-diseases

                                          [2] Eurostat, 2015. Glossary: Healthy life years (HLY). https://ec.europa.eu/eurostat/statistics-explained/index.php?title=Glossary:Healthy_life_years_(HLY)

                                          [3] Österreichische Gesundheitsziele, 2012. https://gesundheitsziele-oesterreich.at/10-ziele/

                                          [4] Eurostat, 2021. Statistics Explained: Healthy life years statistics. https://ec.europa.eu/eurostat/statistics-explained/index.php?title=Healthy_life_years_statistics

                                          • News
                                            • Announcements
                                              • Events
                                                • Newsletter
                                                  • Press release on our reports
                                                    • Press photos
                                                    • About us
                                                      • Evaluation
                                                        • History
                                                          • Methods
                                                            • Team
                                                              • Shareholder & organization chart
                                                                • Stakeholder involvement
                                                                  • Press clippings
                                                                  • Research areas
                                                                    • Oncology
                                                                      • High tech medicine
                                                                        • Rehabilitation and occupational therapy
                                                                          • Prevention and screening
                                                                            • Psychological & psychiatric interventions
                                                                              • Health economics
                                                                                • European collaboration
                                                                                  • HTA-methods & steering instruments
                                                                                    • Complementary medicine
                                                                                    • Research Projects
                                                                                      • Synopsis of current research projects
                                                                                        • Synopsis of completed research projects
                                                                                          • Decision Support Documents for the Austrian Appraisal Board
                                                                                            • HTA-Information Service Rapid Reviews
                                                                                              • Horizon Scanning in Oncology – Prioritisation of new and emerging oncologic drugs
                                                                                                • Horizon Scanning of Medicines - Reports and Fact Sheets
                                                                                                  • Horizon Scanning in Oncology – support for a budget-impact-calculation
                                                                                                    • Evaluation of individual medical procedures - Reports
                                                                                                      • All projects in an overview
                                                                                                      • Publications
                                                                                                        • Repository
                                                                                                          • HTA-Newsletter
                                                                                                            • Annual Reports
                                                                                                            • Search
                                                                                                              Netzwerk
                                                                                                              • Eunethta
                                                                                                              • Ebm
                                                                                                              • Inahta
                                                                                                              • Dexhelpp
                                                                                                              Shareholder
                                                                                                              • Bmfg
                                                                                                              • Sv
                                                                                                              • Wgfond
                                                                                                              • Noe
                                                                                                              • Ooghfond
                                                                                                              • Ghls
                                                                                                              • Tirol
                                                                                                              • Vorarlberg
                                                                                                              • Kghfond
                                                                                                              • Ghpf
                                                                                                              • Burgef
                                                                                                              • Contact
                                                                                                                • Imprint
                                                                                                                  • Privacy Notice
                                                                                                                    • Newsletter
                                                                                                                      • Sitemap
                                                                                                                        © 2025 HTA Austria - Austrian Institute for Health Technology Assessment GmbH. Alle Rechte vorbehalten.
                                                                                                                        • Log in