Cost and health effects of case management compared with outpatient clinic follow-up in a Dutch heart failure cohort.

ABSTRACT:

Aims

Heart failure reduces quality of life and life expectancy; hospital admissions are frequent and create a burden on public resources. This study aims to quantify the benefits in terms of health effects [quality-adjusted life years (QALYs)] and costs when heart failure patients receive case management at home compared with outpatient cardiology clinic follow-up.

Methods and results

A health state transition (Markov) model was written, and transition probabilities were derived from a cohort of 1114 patients and available literature. QALYs in different health states of heart failure patients were retrieved from the literature, and costs were estimated with data from the financial department of the Noordwest Ziekenhuisgroep and public cost sources. Monthly simulation cycles

SUBMITTER: van Voorst H 

PROVIDER: S-EPMC7261554 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature