Outcomes and Cost Effectiveness of a Respiratory Coordinated Care Program in Patients with Severe or Very Severe COPD
| Autor: | Benjamin C. H. Kwan, Saidul Ansary, Johnathan Man, Jason Behary, John Riskallah, Shahila Aslam |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Relative risk reduction
medicine.medical_specialty COPD Cost effectiveness business.industry Cost-effectiveness analysis Severe copd medicine.disease 03 medical and health sciences 0302 clinical medicine 030228 respiratory system Emergency medicine medicine Observational study 030212 general & internal medicine Respiratory system Intensive care medicine Care program business |
| Zdroj: | Open Journal of Respiratory Diseases. :52-57 |
| ISSN: | 2163-9418 2163-940X |
| Popis: | Multidisciplinary community coordinated care programs are widely adopted to optimise care of chronic disease patients, but there is a need for further evaluation in the setting of COPD. This observational study evaluated 147 patients with severe or very severe COPD who were enrolled in a multidisciplinary community respiratory coordinated care program (RCCP) from 2007 to 2012. Comparison was made of hospitalisation rates and length of stay for 12 months prior to joining the program, and the first 12 months after joining the program. This data was used to inform a cost analysis. Enrolment into RCCP halved the annual hospital admission rate from 1.18 to 0.57 admissions per year (relative risk reduction 51.4%, p < 0.001), and annual total length of stay was reduced from 8.06 to 3.59 days per patient per year (p < 0.001). Hospital admissions were reduced from 5.05 days to 2.00 days (p < 0.001). Accounting for the program’s costs, these changes resulted in a $US 906.94 ($AUD 972.80) cost saving per patient per year. A RCCP program can reduce patient hospitalisation and overall costs in the COPD setting. |
| Databáze: | OpenAIRE |
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