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J Health Serv Res Policy. 2010 Jul;15(3):143-9. doi: 10.1258/jhsrp.2009.009032. Epub 2010 Mar 22.

Cost-effectiveness of a programme to detect and provide better care for female victims of intimate partner violence.

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Centre for Health Economic Research and Evaluation, University of Technology, Sydney, Australia.



Primary care clinicians often fail to detect women who are victims of intimate partner violence (IPV). Our aim was to investigate the cost-effectiveness of a programme in primary care to detect and support such women.


We developed a Markov model to estimate the cost-effectiveness of education and support for primary care clinicians to increase their identification of survivors of IPV and to refer them to a specialist advocacy agency or a psychologist with specialist skills. The programme was implemented in three general practices in the United Kingdom (with an additional practice acting as a control) and provided cost data and rates of identification and referral. Other cost data and the effectiveness of IPV advocacy came from published sources.


The model gave an incremental cost-effectiveness ratio (ICER) of approximately pounds sterling 2,450 per quality adjusted life year (QALY). Although the ratio increased in some of the sensitivity analyses, most were under a conventional willingness to pay threshold (pounds sterling 30,000/QALY).


While there is considerable uncertainty in the underlying parameters, a training programme for primary care teams to increase identification and referral of women experiencing IPV is likely to be cost-effective.

[Indexed for MEDLINE]

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