Shared care versus hospital-based cardiac rehabilitation: a cost-utility analysis based on a randomised controlled trial.

ABSTRACT:

Background

Changes in the organisation of chronic healthcare, an increased awareness of costs and challenges of low adherence in cardiac rehabilitation (CR) call for the exploration of more flexible CR programmes as alternatives to hospital-based CR (H-CR). A model of shared care cardiac rehabilitation (SC-CR) that included general practitioners and the municipality was developed. The aim of this study was to analyse the cost utility of SC-CR versus H-CR.

Methods

The cost-utility analysis was based on a randomised controlled trial of 212 patients who were allocated to SC-CR or H-CR and followed up for 12 months. A societal cost perspective was applied that included the cost of intervention, informal time, healthcare and productivity loss. Costing was based on a microcosting

SUBMITTER: Bertelsen JB 

PROVIDER: S-EPMC5845395 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature