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    Acute coronary syndrome: What is the cost-effectiveness of prevention, point-of-care technology and telemonitoring?

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    Publication type
    Journal article
    Author
    Van Dyck, Walter
    Gassull, Daniel
    Vértes, Gergely
    Jain, Prateek
    Palaniappan, Muhilan
    Schulthess, Duane
    Tambuyzer, Erik
    Hudson, Richard
    Moran, Nuala
    Publication Year
    2012
    Journal
    Health Policy and Technology
    Publication Volume
    1
    Publication Issue
    3
    Publication Begin page
    173
    Publication End page
    177
    
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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%).
    Keyword
    Healthcare Management
    Knowledge Domain/Industry
    Special Industries : Healthcare Management
    URI
    http://hdl.handle.net/20.500.12127/4383
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