Cost effectiveness analysis of out-patient and remote monitoring of patients after pacemaker replacement from the perspective of the health care payer

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11120%2F18%3A43916513" target="_blank" >RIV/00216208:11120/18:43916513 - isvavai.cz</a>

Výsledek na webu

<a href="https://doi.org/10.1016/j.crvasa.2018.02.006" target="_blank" >https://doi.org/10.1016/j.crvasa.2018.02.006</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.crvasa.2018.02.006" target="_blank" >10.1016/j.crvasa.2018.02.006</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Cost effectiveness analysis of out-patient and remote monitoring of patients after pacemaker replacement from the perspective of the health care payer

Popis výsledku v původním jazyce

Objectives: To determine the cost effectiveness of remote vs. outpatient monitoring of patients with pacemaker after device replacement due to battery depletion. Background: Despite the fact that modern pacemakers can be checked remotely, most check-ups are still carried out during outpatient visits. So far, a cost effectiveness analysis of remote monitoring has not been performed in the Czech Republic. Patients, methods: A retrospective analysis was done using the files of 217 patients that had undergone pacemaker replacement between 2002 and 2005. All visits from 2002 to 2015 were analyzed. Using a pharmacoeconomic model, a cost minimization analysis was made to compare the costs of outpatient visits relative to remote monitoring of pacemakers, from the perspective of the health care payer. Results: The costs for the out-patient follow-up of the analyzed group of patients were calculated to be 802,709. CZK. Remote management for the same group would have cost 6,398,631. CZK. Cost minimization analysis showed that remote monitoring would have cost 5,595,922. CZK more than current standard care. Conclusion: Remote monitoring, is from the perspective of the health care payer, not associated with costs reduction in patients after pacemaker replacement due to battery depletion compared to standard out-patient follow-up.

Název v anglickém jazyce

Cost effectiveness analysis of out-patient and remote monitoring of patients after pacemaker replacement from the perspective of the health care payer

Popis výsledku anglicky

Objectives: To determine the cost effectiveness of remote vs. outpatient monitoring of patients with pacemaker after device replacement due to battery depletion. Background: Despite the fact that modern pacemakers can be checked remotely, most check-ups are still carried out during outpatient visits. So far, a cost effectiveness analysis of remote monitoring has not been performed in the Czech Republic. Patients, methods: A retrospective analysis was done using the files of 217 patients that had undergone pacemaker replacement between 2002 and 2005. All visits from 2002 to 2015 were analyzed. Using a pharmacoeconomic model, a cost minimization analysis was made to compare the costs of outpatient visits relative to remote monitoring of pacemakers, from the perspective of the health care payer. Results: The costs for the out-patient follow-up of the analyzed group of patients were calculated to be 802,709. CZK. Remote management for the same group would have cost 6,398,631. CZK. Cost minimization analysis showed that remote monitoring would have cost 5,595,922. CZK more than current standard care. Conclusion: Remote monitoring, is from the perspective of the health care payer, not associated with costs reduction in patients after pacemaker replacement due to battery depletion compared to standard out-patient follow-up.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30201 - Cardiac and Cardiovascular systems

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2018

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Cor et Vasa

ISSN

0010-8650

e-ISSN

—

Svazek periodika

60

Číslo periodika v rámci svazku

4

Stát vydavatele periodika

NL - Nizozemsko

Počet stran výsledku

6

Strana od-do

"e387"-"e392"

Kód UT WoS článku

000442902500008

EID výsledku v databázi Scopus

2-s2.0-85043382722