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10.2196/26516

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suck abstract from ncbi


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pmid33656440      J+Med+Internet+Res 2021 ; 23 (3): e26516
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  • Cost-effectiveness of a Telemonitoring Program for Patients With Heart Failure During the COVID-19 Pandemic in Hong Kong: Model Development and Data Analysis #MMPMID33656440
  • Jiang X; Yao J; You JH
  • J Med Internet Res 2021[Mar]; 23 (3): e26516 PMID33656440show ga
  • BACKGROUND: The COVID-19 pandemic has caused patients to avoid seeking medical care. Provision of telemonitoring programs in addition to usual care has demonstrated improved effectiveness in managing patients with heart failure (HF). OBJECTIVE: We aimed to examine the potential clinical and health economic outcomes of a telemonitoring program for management of patients with HF during the COVID-19 pandemic from the perspective of health care providers in Hong Kong. METHODS: A Markov model was designed to compare the outcomes of a care under COVID-19 (CUC) group and a telemonitoring plus CUC group (telemonitoring group) in a hypothetical cohort of older patients with HF in Hong Kong. The model outcome measures were direct medical cost, quality-adjusted life-years (QALYs), and incremental cost-effectiveness ratio. Sensitivity analyses were performed to examine the model assumptions and the robustness of the base-case results. RESULTS: In the base-case analysis, the telemonitoring group showed a higher QALY gain (1.9007) at a higher cost (US $15,888) compared to the CUC group (1.8345 QALYs at US $15,603). Adopting US $48,937/QALY (1 x the gross domestic product per capita of Hong Kong) as the willingness-to-pay threshold, telemonitoring was accepted as a highly cost-effective strategy, with an incremental cost-effective ratio of US $4292/QALY. No threshold value was identified in the deterministic sensitivity analysis. In the probabilistic sensitivity analysis, telemonitoring was accepted as cost-effective in 99.22% of 10,000 Monte Carlo simulations. CONCLUSIONS: Compared to the current outpatient care alone under the COVID-19 pandemic, the addition of telemonitoring-mediated management to the current care for patients with HF appears to be a highly cost-effective strategy from the perspective of health care providers in Hong Kong.
  • |*Ambulatory Care/economics/methods[MESH]
  • |*Data Analysis[MESH]
  • |*Monte Carlo Method[MESH]
  • |COVID-19/*complications/epidemiology[MESH]
  • |Cohort Studies[MESH]
  • |Cost-Benefit Analysis[MESH]
  • |Heart Failure/*epidemiology[MESH]
  • |Hong Kong/epidemiology[MESH]
  • |Humans[MESH]
  • |Markov Chains[MESH]
  • |Pandemics[MESH]
  • |Quality-Adjusted Life Years[MESH]
  • |SARS-CoV-2[MESH]


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