Cost-effectiveness of health coaching and financial incentives to promote physical activity after total knee replacement
| Autor: | Heidi Yang, Jamie E. Collins, Karen C. Smith, Elena Losina, Jeffrey N. Katz, A. D. Paltiel |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Health coaching Cost effectiveness Cost-Benefit Analysis Total knee replacement Biomedical Engineering Physical activity Article 03 medical and health sciences 0302 clinical medicine Primary outcome Rheumatology Financial incentives Health care medicine Humans Orthopedics and Sports Medicine Postoperative Period 030212 general & internal medicine Arthroplasty Replacement Knee Exercise Aged 030203 arthritis & rheumatology business.industry Middle Aged Osteoarthritis Knee Exercise Therapy Models Economic Usual care Physical therapy Female Quality-Adjusted Life Years business Follow-Up Studies |
| Zdroj: | Osteoarthritis and Cartilage. 26:1495-1505 |
| ISSN: | 1063-4584 |
| Popis: | OBJECTIVE: We evaluated the cost-effectiveness of telephonic health coaching and financial incentives (THC+FI) to promote physical activity in total knee replacement recipients. DESIGN: We used the Osteoarthritis Policy Model, a computer simulation of knee osteoarthritis, to evaluate the cost-effectiveness of THC+FI compared to usual care. We derived transition probabilities, utilities, and costs from trial data. We conducted lifetime analyses from the healthcare perspective and discounted all cost-effectiveness outcomes by 3% annually. The primary outcome was the incremental cost-effectiveness ratio (ICER), defined as the ratio of the differences in costs and quality-adjusted life years (QALYs) between strategies. We considered ICERs |
| Databáze: | OpenAIRE |
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