Telemonitoring after discharge from hospital with heart failure: cost-effectiveness modelling of alternative service designs.

ABSTRACT:

Objectives

To estimate the cost-effectiveness of remote monitoring strategies versus usual care for adults recently discharged after a heart failure (HF) exacerbation.

Design

Decision analysis modelling of cost-effectiveness using secondary data sources.

Setting

Acute hospitals in the UK.

Patients

Patients recently discharged (within 28 days) after a HF exacerbation.

Interventions

Structured telephone support (STS) via human to machine (STS HM) interface, (2) STS via human to human (STS HH) contact and (3) home telemonitoring (TM), compared with (4) usual care.

Main outcome measures

The incremental cost per quality-adjusted life year (QALY) gained by each strategy compared to the next most effective alternative and the probability of each strategy

SUBMITTER: Thokala P 

PROVIDER: S-EPMC3780300 | biostudies-literature | 2013 Sep

REPOSITORIES: biostudies-literature