Acute coronary syndrome: What is the cost-effectiveness of prevention, point-of-care technology and telemonitoring?
Van Dyck, Walter Vértes, Gergely Palaniappan, Muhilan Gassull, Daniel Jain, Prateek Schulthess, Duane Tambuyzer, Erik Hudson, Richard Moran, Nuala
Van Dyck, Walter
Vértes, Gergely
Palaniappan, Muhilan
Gassull, Daniel
Jain, Prateek
Schulthess, Duane
Tambuyzer, Erik
Hudson, Richard
Moran, Nuala
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Publication Type
Journal article
Editor
Supervisor
Publication Year
2012-09
Journal
Health Policy and Technology
Book
Publication Volume
1
Publication Issue
3
Publication Begin page
173
Publication End page
177
Publication Number of pages
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Abstract
This study is a cost-analysis that calculates the impact of three interventions for patients identified as ‘at risk’ for Acute Coronary Syndrome - a cardio-vascular exercise programme, point-of-care digital diagnostics, and telemonitoring adherence tools. The methodology utilizes a model of the annualized costs of ACS for the entire treatment value chain, and measures the impact of the three interventions by the change in treatment cost, incremental net benefit, and QALY. The results demonstrate that the largest impact is measured when all three interventions are utilized simultaneously producing a cumulative savings of €4424 and 0.126 QALY per patient. We also find a significant decrease in Emergency Room visits by 15% and changes in rates of utilization of Catharization (−59%), Angioplasty (−59%), Bypass (−17%), Medication (−14%) and Rehabilitation (−13%).
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Keywords
4203 Health Services and Systems, 42 Health Sciences, Heart Disease, Prevention, Comparative Effectiveness Research, Atherosclerosis, Cardiovascular, Heart Disease - Coronary Heart Disease, Health Services, Cost Effectiveness Research, Clinical Research, 7.1 Individual care needs, Cardiovascular, 3 Good Health and Well Being