Cost–utility analysis of a palliative care program in Colombia

Autor: Luisa Rodríguez-Campos, Paul Andres Rodriguez-Lesmes, Analhi Palomino Cancino, Iris del Valle Díaz, Luis Fernando Gamboa, Andrea Castillo Niuman, Juan Sebastián Salas, Gabriela Sarmiento, Jorge Martínez-Bernal, Abel E. González-Vélez
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: BMC Palliative Care, Vol 23, Iss 1, Pp 1-10 (2024)
Druh dokumentu: article
ISSN: 1472-684X
DOI: 10.1186/s12904-024-01476-6
Popis: Abstract Background The economic assessment of health care models in palliative care promotes their global development. The purpose of the study is to assess the cost-effectiveness of a palliative care program (named Contigo) with that of conventional care from the perspective of a health benefit plan administrator company, Sanitas, in Colombia. Methods The incremental cost-utility ratio (ICUR) and the incremental net monetary benefit (INMB) were estimated using micro-costing in a retrospective, analytical cross-sectional study on the care of terminally ill patients enrolled in a palliative care program. A 6-month time horizon prior to death was used. The EQ-5D-3 L questionnaire (EQ-5D-3 L) and the McGill Quality of Life Questionnaire (MQOL) were used to measure the quality of life. Results The study included 43 patients managed within the program and 16 patients who received conventional medical management. The program was less expensive than the conventional practice (difference of 1,924.35 US dollars (USD), P = 0.18). When compared to the last 15 days, there is a higher perception of quality of life, which yielded 0.25 in the EQ-5D-3 L (p
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