Modelling the cost-effectiveness of person-centred care for patients with acute coronary syndrome
| Autor: | Hanna Gyllensten, Kristian Bolin, Andreas Fors, Laura Pirhonen |
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| Rok vydání: | 2020 |
| Předmět: |
Time perspective
medicine.medical_specialty Acute coronary syndrome Cost effectiveness Cost-Benefit Analysis Economics Econometrics and Finance (miscellaneous) Randomized-controlled trial 030204 cardiovascular system & hematology law.invention 03 medical and health sciences 0302 clinical medicine Mid-term cost-effectiveness Randomized controlled trial law Patient-Centered Care Humans Medicine 030212 general & internal medicine Intensive care medicine Original Paper Health economics business.industry Health Policy Public health Perspective (graphical) Person-centred care I1 (Health) medicine.disease Markov model Self Care Models Economic Usual care Quality-Adjusted Life Years business |
| Zdroj: | The European Journal of Health Economics |
| ISSN: | 1618-7601 1618-7598 |
| DOI: | 10.1007/s10198-020-01230-8 |
| Popis: | Background Person-centred care has been shown to be cost-effective compared to usual care for several diseases, including acute coronary syndrome, in a short-term time perspective ( Objectives To estimate the mid-term cost-effectiveness of person-centred care compared to usual care for patients ( Methods The mid-term cost-effectiveness of person-centred care compared to usual care was estimated by projecting the outcomes observed in a randomized-controlled trial together with data from health registers and data from the scientific literature, 3 years beyond the 2-year follow-up, using the developed simulation model. Probabilistic sensitivity analyses were performed using Monte Carlo simulation. Results Person-centred care entails lower costs and improved effectiveness as compared to usual care, for a 2-year time and a 5-year perspective. Monte Carlo simulations suggest that the likelihoods of the person-centred care being cost-effective compared to usual care were between 80 and 99% and between 75 and 90% for a 2-year and a 5-year time perspective (using a 500,000 SEK/QALY willingness-to-pay threshold). Conclusions Person-centred care was less costly and more effective compared to usual care in a 2-year and a 5-year time perspective for patients with acute coronary syndrome under the age of 65. |
| Databáze: | OpenAIRE |
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