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Ymchwil Economeg Iechyd Cyhoeddus ac Ataliol

Mae’r Grŵp Ymchwil Economeg Iechyd Cyhoeddus ac Ataliol yn rhan o'r Ganolfan Economeg Iechyd a Gwerthuso Meddyginiaethau yn yr Ysgol Gwyddorau Meddygol ac Iechyd ac yn rhan o grŵp amlddisgyblaethol Sefydliad Ymchwil Iechyd a Meddygol Bangor. Mae ein hymchwil yn defnyddio model gydol oes sy'n cymhwyso dulliau gwerthuso economeg iechyd i dreialon a chynlluniau astudio eraill i werthuso iechyd cyhoeddus ac ymyriadau seicogymdeithasol ar lefel rhaglen a system. Defnyddir ein hymchwil yn y GIG, sefydliadau’r trydydd sector, a’r llywodraeth. Cyllidir llawer o'n hymchwil gan NIHR, HTA, elusennau a Llywodraeth Cymru.

Arweinir PHERG gan Rhiannon Tudor Edwards BSc. Econ, MA, D.Phil., Anrh. MFPH, Athro Economeg Iechyd.

Ein Set Sgiliau

Gyda lens ymchwil a pholisi, rydym yn cymhwyso economeg iechyd i iechyd y cyhoedd ac ataliol, llesiant a lles.

Mae ein harbenigedd a'r dulliau a ddefnyddiwn i'w gweld yn y ffeithlun hwn:

Gwe-ddiagram yw hwn sy’n amlygu’r dulliau a ddefnyddiwn. Y categorïau yw: Gwerth Cymdeithasol, Adolygu, Gwerthusiad Economeg, Canolbwyntio ar Gyfranogwr a Blaenoriaethu.

Mae tystiolaeth ryngwladol yn awgrymu y daw’r adenillion ar fuddsoddiad mwyaf o fuddsoddiad yn ystod y tair blynedd gyntaf o fywyd. Mae ein hymchwil yn dangos mai camau ataliol cadarnhaol yn ystod datblygiad plant yw'r ffyrdd pwysicaf o ymyrryd a sicrhau'r adenillion ar fuddsoddiad mwyaf i gymdeithas.

Gellir gweld adroddiad Trawsnewid Bywydau Ifanc ledled Cymru Canolfan Economeg Iechyd a Gwerthuso Meddyginaethau yma.

Mae'r ffeithlun newydd hwn yn dangos sut mae ffactorau'n effeithio ar les trwy gwrs bywyd.

Lles a meithrin llesiant trwy gwrs bywyd mewn ymchwil a pholisi economeg iechyd cyhoeddus: Ffeithlun newydd

infographic showing how factors impact on wellbeing through life course.

Ein Effaith

Gwe-ddiagram yw hwn sy’n profi ein heffaith. Mae categorïau yn cynnwys cyhoeddiadau, dylanwadu polisi, addysgu a chreu ddnoddau, ac adnabod mesurau iechyd ataliol.

Gweithgareddau cefnogi ymchwil a pholisi

Methodoleg economeg iechyd y cyhoedd

Llawlyfrau mewn Gwerthuso Economeg Iechyd, Applied Health Economics for Public Health Practice and Researchgolygwyd gan Rhiannon Tudor Edwards ac Emma McIntosh, cyhoeddwyd gan Wasg Prifysgol Rhydychen.

applied health book cover image

Ein Cyhoeddiadau

Cyhoeddiadau PHERG 2023

  • Anthony, B. F., Disbeschl, S., Goulden, N., Hendry, A., Hiscock, J., Hoare, Z., Roberts, J., Rose, J., Surgey, A., Williams, N. H., Walker, D., Neal, R., Wilkinson, C., & Edwards, R. T. (2023). Earlier cancer diagnosis in primary care: a feasibility economic analysis of ThinkCancer! https://doi.org/10.3399/BJGPO.2022.0130
  • Casswell, E. J., Cro, S., Cornelius, V. R., Banerjee, P. J., Zvobgo, T. M., Edwards, R. T., Ezeofor, V., Anthony, B., Shahid, S. M., Bunce, C., Kelly, J., Murphy, C., Robertson, E., & Charteris, D. (2023). Clinical science Randomised controlled trial of adjunctive triamcinolone acetonide in eyes undergoing vitreoretinal surgery following open globe trauma: The ASCOT study. Br J Ophthalmol, 0, 1–9. https://doi.org/10.1136/bjo-2022-322787
  • Doungsong, K., Hartfiel, N., Gladman, J., Harwood, R. H., & Tudor Edwards, R. (2023). RCT-based Social Return on Investment (SROI) of a home exercise programme for people with early dementia comparing in-person and blended delivery before and during the COVID-19 pandemic. https://doi.org/10.1101/2023.08.25.23294408
  • Edwards, R. T., Ezeofor, V., Bryning, L., Anthony, B. F., Charles, J. M., & Weeks, A. (2023). Prevention of postpartum haemorrhage: Economic evaluation of the novel butterfly device in a UK setting. European Journal of Obstetrics and Gynecology, 283, 301–2115. https://doi.org/10.1016/j.ejogrb.2023.02.020
  • England, C., Jarrom, D., Washington, J., Hasler, E., Batten, L., Lewis, R., Edwards, R. T., Davies, J., Collins, B., Cooper, A., & Edwards, A. (2023). Measuring Mental Health in a Cost-of-Living Crisis: Rapid review RR0006 Measuring Mental Health in a Cost-of-Living Crisis: a rapid review. https://doi.org/10.1101/2023.07.24.23293078
  • Edwards, D., Csontos, J., Gillen, E., Hutchinson, G., Sha’aban, A., Carrier, J., Lewis, R., Edwards, R. T., Davies, J., Collins, B., Cooper, A., & Edwards, A. (2023). What is the forecasted prevalence and incidence of long-term conditions in Wales: a rapid evidence map. https://doi.org/10.1101/2023.06.23.23291814
  • Granger, R., & Kubis, H. P. (2023). Too much is too much: Influence of former stress levels on food craving and weight gain during the COVID-19 period. PLoS ONE, 18(4 April). https://doi.org/10.1371/journal.pone.0277856
  • Harwood, R. H., Goldberg, S. E., Brand, A., Wardt, V. van Der, Booth, V., Lorito, C. Di, Hoare, Z., Hancox, J., Bajwa, R., Burgon, C., Howe, L., Cowley, A., Bramley, T., Long, A., Lock, J., Tucker, R., Adams, E. J., O’Brien, R., Kearney, F., … Masud, T. (2023). Promoting Activity, Independence, and Stability in Early Dementia and mild cognitive impairment (PrAISED): randomised controlled trial. BMJ, 382, e074787. https://doi.org/10.1136/BMJ-2023-074787
  • Hartfiel, N., Gittins, H., Morrison, V., Wynne-Jones, S., Dandy, N., & Edwards, R. T. (2023). Social Return on Investment of Nature-Based Activities for Adults with Mental Wellbeing Challenges. International Journal of Environmental Research and Public Health, 20(15). https://doi.org/10.3390/ijerph20156500
  • O’toole, S., Moazzez, R., Wojewodka, G., Zeki, S., Jafari, J., Hope, K., Brand, A., Hoare, Z., Scott, S., Doungsong, K., Ezeofor, V., Edwards, R. T., Drakatos, P., & Steier, J. (2023). Single-centre, single-blinded, randomised, parallel group, feasibility study protocol investigating if mandibular advancement device treatment for obstructive sleep apnoea can reduce nocturnal gastro-oesophageal reflux (MAD-Reflux trial). https://doi.org/10.1136/bmjopen-2023-076661
  • Makanjuola, A., Granger, R., Pisavadia, K., & Edwards, R. T. (2023). Is lifestyle coaching a potential cost-effective intervention to address the backlog for mental health counselling? A Rapid Review. MedRxiv, 2023.01.20.23284835. https://doi.org/10.1101/2023.01.20.23284835
  • Makanjuola, A., Lynch, M., Hartfiel, N., Cuthbert, A., & Edwards, R. (2023). Prevention of Poor Physical and Mental Health through the Green Social Prescribing Opening Doors to the Outdoors Programme: A Social Return on Investment Analysis. International Journal of Environmental Research and Public Health, 20(12), 6111. https://doi.org/10.3390/ijerph20126111
  • Makanjuola, A., Lynch, M., Spencer, L. H., & Edwards, R. T. (2023). Prospects and Aspirations for Workforce Training and Education in Social Prescribing. International Journal of Environmental Research and Public Health, 20(16), 6549. https://doi.org/10.3390/ijerph20166549
  • Prendergast, L. M., Toms, G., Seddon, D., Jones, C., Anthony, B. F., & Edwards, R. T. (2023). Supporting social connection for people living with dementia: lessons from the findings of the TRIO study. Working with Older People. https://doi.org/10.1108/WWOP-10-2022-0050
  • Skinner, A., Hartfiel, N., Lynch, M., Jones, A. W., & Edwards, R. T. (2023). Social Return on Investment of Social Prescribing via a Diabetes Technician for Preventing Type 2 Diabetes Progression. International Journal of Environmental Research and Public Health, 20(12), 6074. https://doi.org/10.3390/ijerph20126074
  • Spencer, L. H., Albustami, M., Khanom, A., Porter, A., Naha, G., Thomas, R. L., … Edwards, R. T. (2023). CYMELL Study: rapid review of the evidence. Retrieved February 15, 2023, from PROSPERO website: https://www.crd.york.ac.uk/prospero/#recordDetails
  • Spencer, L. H., Hendry, A., Makanjuola, A., Anthony, B., Davies, J., Pisavadia, K., … Edwards, A. (2023). What interventions or best practice are there to support people with Long COVID, or similar post-viral conditions or conditions characterised by fatigue, to return to normal activities: a rapid review. Retrieved February 2, 2023, from medRxiv preprint website: https://www.medrxiv.org/content/10.1101/2023.01.24.23284947v1
  • Spencer, L. H., Lynch, M., Thomas, G. M., & Edwards, R. T. (2023). Intergenerational Deliberations for Long Term Sustainability. Retrieved February 12, 2023, from Challenges website: https://www.mdpi.com/2078-1547/14/1/11?fbclid=IwAR039SCJmhvW5csmgs0eZbP3jSJ9xi511IdH4E5ac4BXcq87yEpFPRft-4w
  • Spencer, L., Hendry, A., Makanjuola, A., Anthony, B. F., Davies, J., Pisavadia, K., Hughes, D., Fitzsimmons, D., Wilkinson, C., Edwards, R. T., Lewis, R., Cooper, A., & Edwards, A. (2023). Supporting people with long COVID What interventions or best practice are there to support people with Long COVID, or similar post-viral conditions or conditions characterised by fatigue, to return to normal activities: a rapid review. https://doi.org/10.1101/2023.01.24.23284947
  • Spencer, L. ;, Hendry, A. ;, Makanjuola, A. ;, Pisavadia, K. ;, Davies, J. ;, Albustami, M. ;, Anthony, B. ;, Wilkinson, C. ;, Fitzsimmons, D. ;, Hughes, D. ;, Edwards, R., Tudor, ;, Lewis, R. ;, Cooper, A. ;, Edwards, A., Spencer, L., Makanjuola, A., Albustami, J., & Anthony, M. (2023). What is the effectiveness and cost-effectiveness of interventions in reducing the harms for children and young people who have been exposed to domestic violence or abuse: a rapid review.
  • Spencer, L. H., Lynch, M., Thomas, G. M., & Edwards, R. T. (2023). Intergenerational Deliberations for Long Term Sustainability. Challenges, 14(1), 11. https://doi.org/10.3390/challe14010011
  • Toms, G. R., Stringer, C. L., Prendergast, L. M., Seddon, D., Anthony, B. F., & Edwards, R. T. (2023). A Study to Explore the Feasibility of Using a Social Return on Investment Approach to Evaluate Short Breaks. https://doi.org/10.1155/2023/4699751
  • Weeks, A. D., Cunningham, C., Taylor, W., Rosala-Hallas, A., Watt, P., Bryning, L., Cregan, L., Hayden, E., Lambert, D., Bedwell, C., Lane, S., Fisher, T., Edwards, R. T., & Lavender, T. (2023). A mixed method, phase 2 clinical evaluation of a novel device to treat postpartum haemorrhage. European Journal of Obstetrics and Gynecology, 283, 142–148. https://doi.org/10.1016/j.ejogrb.2023.01.018

Cyhoeddiadau PHERG 2022

  • Cooledge, B., & Spencer, L. (2022). Siaradwyr Cymraeg mewn ymchwil iechyd a gofal yng Nghymru – Golwg360. https://golwg.360.cymru/gwerddon/2105428-siaradwyr-cymraeg-mewn-ymchwil-iechyd-gofal
  • Edwards, R. (2022). Through the life-course in public health economics research and policy: A new infographic. Frontiers in Public Health, 10, 5147. Retrieved fromhttps://www.frontiersin.org/articles/10.3389/fpubh.2022.1035260/full
  • Ezeofor, V. ‘Segun, Spencer, L. H., Rogers, S. N., Kanatas, A., Lowe, D., Semple, C. J., Hanna, J. R., Yeo, S. T., & Edwards, R. T. (2022). An Economic Evaluation Supported by Qualitative Data About the Patient Concerns Inventory (PCI) versus Standard Treatment Pathway in the Management of Patients with Head and Neck Cancer. PharmacoEconomics - Open, 6(3), 389–403. https://doi.org/10.1007/s41669-021-00320-4
  • Granger, R., Genn, H., & Tudor Edwards, R. (2022). Health economics of health justice partnerships: A rapid review of the economic returns to society of promoting access to legal advice. https://doi.org/10.3389/fpubh.2022.1009964
  • Hartfiel, N., Gladman, J., Harwood, R., & Tudor Edwards, R. (2022). Social Return on Investment of Home Exercise and Community Referral for People With Early Dementia. Gerontology and Geriatric Medicine, 8. https://doi.org/10.1177/23337214221106839
  • Makanjuola, A., Lynch, M., Hartfiel, N., Cuthbert, A., Wheeler, H. T., & Edwards, R. T. (2022). A Social Return on Investment Evaluation of the Pilot Social Prescribing EmotionMind Dynamic Coaching Programme to Improve Mental Wellbeing and Self-Confidence. Public Health, 19. https://doi.org/10.3390/ijerph191710658
  • Roberts, G., Holmes, J., Williams, G., Chess, J., Hartfiel, N., Charles, J. M., McLauglin, L., Noyes, J., & Edwards, R. T. (2022). Current costs of dialysis modalities: A comprehensive analysis within the United Kingdom. Peritoneal Dialysis International, 42(6), 578–584. https://doi.org/10.1177/08968608211061126
  • Spencer, L., Hendry, A., Makanjuola, A., Davies, J., Pisavadia, K., Hughes, D., Fitzsimmons, D., Wilkinson, C., Edwards, R. T., Lewis, R., Cooper, A., & Edwards, A. (2022). What is the long-term impact of COVID-19 on the Health-Related Quality of Life of individuals with mild symptoms (or non-hospitalised): A rapid review. https://doi.org/10.1101/2022.09.09.22279642
  • Spencer, L., Hartfiel, N., Hendry, A., Anthony, B., Makanjuola, A., Pisavadia, K., Davies, J., Bray, N., Hughes, D., Wilkinson, C., Fitzsimmons, D., Edwards, R. T., Edwards, A., Gal, M., Cooper, A., & Lewis, R. (2022). What innovations can address inequalities experienced by women and girls due to the COVID-19 pandemic across the different areas of life/domains: work, health, living standards, personal security, participation and education?http://www.primecentre.wales/resources/RR/Clean/RR00027_Wales_COVID-19_Evidence_Centre-
  • Whiteley, H., Lynch, M., Hartfiel, N., Beharrell, W., Cuthbert, A., & Edwards, R. T. (2022). A social Return on Investment (SROI) evaluation of the Fathom trust 'Making well' programme. https://fathomtrust.com/stories/making-well-a-social-return-on-investment-report/

 

Ein Arianwyr

iGwe-ddiagram yw hwn sy’n dangos ein harianwyr, sy’n cynnwys UKRI, Llywodraeth Cymru, Byrddau Iechyd GIG, Horizon Ewrop ac Elusennau.

 

invest 4 health logo

Projectau cyfredol

Horizon Europe Invest4Health

Mae'r Ganolfan Economeg Iechyd a Gwerthuso Meddyginiaethau (CHEME) yn bartneriaid allweddol ym mhroject Invest4Health yr Undeb Ewropeaidd. Mae’r cydweithrediad hwn gan Horizon Europe ar draws wyth gwlad wedi’i ariannu fel un o’r pedair rhaglen ymchwil fawr ar alwad HORIZON-HLTH-2022-CARE-08-04 — Gwell modelau ariannu ar gyfer systemau iechyd. Mae cyfraniad allweddol CHEME i’r project hwn yn cynnwys edrych ar yr hyn a olygir gan Fuddsoddi Gallueiddio Clyfar, ar draws y sectorau cyhoeddus, preifat a gwirfoddol ar lefel macro, meso a micro, a phrofi a gwerthuso modelau Buddsoddi Gallueiddio Clyfar arfaethedig sy’n anelu at ddarparu cyllid cynaliadwy ar gyfer mesurau iechyd ataliol yn y dirwedd gofal iechyd ôl-COVID-19.

Cyngor ar Bresgripsiwn

Mae Citizens Advice on Prescription (CAP) yn ymyriad lles a phresgripsiynu cymdeithasol a ddarperir gan Raglen Iechyd LerCAP Liverpool logopwl Cyngor ar Bopeth | Cyngor ar Bopeth (citizensadviceliverpool.org.uk). Nod CAP yw darparu un 'porth' o wasanaethau iechyd yn Lerpwl i gynnig cefnogaeth gymdeithasol a lles gyfannol. Elfen allweddol o wasanaeth CAP yw ei fod wedi’i gynllunio i wella bywydau unigolion, ond hefyd i ddarparu cefnogaeth i’r system gofal iechyd, gyda’r nod o leihau’r pwysau ar y gwasanaeth iechyd yn sgil materion nad ydynt yn ymwneud ag iechyd.

Mae tîm economeg iechyd y cyhoedd, ar y cyd â Phrifysgol Lerpwl, ar hyn o bryd yn gwerthuso effeithiolrwydd a chost-effeithiolrwydd y rhaglen CAP. Ar gyfer y dadansoddiadau economaidd iechyd, byddwn yn defnyddio gwerthoedd cyfleustodau ansawdd bywyd sy’n gysylltiedig ag iechyd yn ogystal â newidiadau yn y defnydd o wasanaethau iechyd (e.e. nifer yr ymweliadau â meddygon teulu ac ysbytai), a chostau rhaglenni i gynnal dadansoddiad cost-effeithiolrwydd ac adenillion cymdeithasol ar fuddsoddiad ar yr ymyriad.

KiVaKiVa logo

Mae’r Ganolfan Economeg Iechyd a Gwerthuso Meddyginiaethau, Prifysgol Bangor, yn cynnal gwerthusiad economeg iechyd o raglen gwrth-fwlio cyffredinol KiVa fel rhan o dreial Stand Together y Deyrnas Unedig. Mae dros 25% o blant y Deyrnas Unedig yn cael eu bwlio’n rheolaidd a gall bwlio yn yr ysgol effeithio ar absenoldeb, cyrhaeddiad academaidd ac arwain at blant sy’n cael eu bwlio yn cael mynediad at fwy o wasanaethau iechyd meddwl o gymharu â phlant nad ydynt yn cael eu bwlio. Mae canlyniadau iechyd a gofal cymdeithasol cwrs bywyd niweidiol posibl yn amlygu pwysigrwydd dull iechyd cyhoeddus ataliol i leihau bwlio ymysg plant. Mae treial Stand Together y Deyrnas Unedig yn darparu’r gwerthusiad treialon hapsamplu rheolyddedig ar raddfa fawr gyntaf o’r rhaglen KiVa yng Nghymru a Lloegr, gan ymchwilio i weld a yw KiVa yn fwy effeithiol a chost-effeithiol o ran lleihau bwlio yn ysgolion cynradd y Deyrnas Unedig o gymharu â dull arferol ysgolion o fynd i’r afael â bwlio. Mae KiVa yn ymyriad cymhleth, aml-gydran a ddarperir o fewn system addysg gymhleth. Rydym yn defnyddio lens gwerthusol eang i ddarparu tystiolaeth cost-effeithiolrwydd cynhwysfawr a pherthnasol i'r rhai sy'n gwneud penderfyniadau.

Ein staff craidd sy’n gweithio gyda'r Athro Edwards  

Cyn-fyfyrwyr

Myfyrwyr Ôl-radd Ymchwil

Cyfleoedd/ysgoloriaeth ymchwil ôl-radd

MRes Economeg Iechyd

Rydym yn cynnig Meistr trwy Ymchwil mewn Economeg Iechyd Cyhoeddus ac Ataliol

Addysgu

  • Myfyrwyr meddygaeth yn Ysgol Feddygol Gogledd Cymru, Prifysgol Bangor.
    • Mae Rhiannon yn cynnig project profiad 'Ymchwil economeg iechyd cyhoeddus ac ataliol ar draws cwrs bywyd' yn y cydrannau a ddewisir gan fyfyrwyr (2il i 4edd flwyddyn).
    • Bydd myfyrwyr yn cael cyfle i ymuno â rhwydwaith Ymchwil Economeg Iechyd Cyhoeddus ac Ataliol yn CHEME.
  • Mae Rhiannon yn cynnig darlithoedd pwrpasol ar economeg iechyd y cyhoedd a phynciau cysylltiedig:

Economeg iechyd lles a meithrin llesiantTransforming Young Lives across Wales book cover

Projectau ymchwil a chydweithrediadau trwy gydol oes

Blynyddoedd cynnar a phlentyndod

Glasoed a phobl ifanc

Oedran gweithio

Heneiddio - byw'n dda yn hirach

Ble a sut rydym yn marw'n dda

Gwerthuso dyfeisiau a thechnolegau meddygol

Gwerthusiad economaidd o golli golwg a llawdriniaeth cadw golwg