The cost-utility of a care coordination/home telehealth programme for veterans with diabetes

被引:24
作者
Barnett, Tracey E.
Chumbler, Neale R.
Vogel, W. Bruce
Beyth, Rebecca J.
Ryan, Patricia
Figueroa, Sarita
机构
[1] Vet Affairs Med Ctr, Rehabil Outcomes Res Ctr, HSR&D, RR&D,N Florida S Georgia Vet Hlth Syst, Gainesville, FL 32608 USA
[2] VA HSR&D Stroke QUERI, Gainesville, FL USA
[3] Univ Florida, Dept Hlth Serv Res Management & Policy, Gainesville, FL USA
[4] Univ Florida, Dept Epidemiol & Hlth Policy Res, Gainesville, FL USA
[5] Univ Florida, Dept Aging & Geriatr Res, Gainesville, FL USA
[6] VA Community Care Coordinat Serv, VISN Off 8, Bay Pines &VHA Off Care Coordinat, Washington, DC USA
关键词
D O I
10.1258/135763307781644843
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
We examined the cost-effectiveness of a care coordination/home telehealth (CCHT) programme for veterans with diabetes. We conducted a retrospective, pre-post study which compared data for a cohort of veterans (n = 370) before and after the introduction of the CCHT programme for two periods of 12 months. To assess the cost-effectiveness, we converted the patients' health-related quality of life data into Quality Adjusted Life Year (QALY) utility scores and used costs to construct incremental cost-effectiveness ratios (ICERs). The overall mean ICER for the programme at one-year was $60,941, a value within the commonly-cited range of cost-effectiveness of $50,000-100,000. The programme was cost-effective for one-third of the participants. Characteristics that contributed to cost-effectiveness were marital status, location and clinically relevant co-morbidities. By targeting the intervention differently in future work, it may become cost-effective for a greater proportion of patients.
引用
收藏
页码:318 / 321
页数:4
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