Cost-Effectiveness Analysis in Telehealth: A Comparison between Home Telemonitoring, Nurse Telephone Support, and Usual Care in Chronic Heart Failure Management

Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research
A S GrustamH Vrijhoef

Abstract

To assess the cost effectiveness of home telemonitoring (HTM) and nurse telephone support (NTS) compared with usual care (UC) in the management of patients with chronic heart failure, from a third-party payer's perspective. We developed a Markov model with a 20-year time horizon to analyze the cost effectiveness using the original study (Trans-European Network-Home-Care Management System) and various data sources. A probabilistic sensitivity analysis was performed to assess the decision uncertainty in our model. In the original scenario (which concerned the cost inputs at the time of the original study), HTM and NTS interventions yielded a difference in quality-adjusted life-years (QALYs) gained compared with UC: 2.93 and 3.07, respectively, versus 1.91. An incremental net monetary benefit analysis showed €7,697 and €13,589 in HTM and NTS versus UC at a willingness-to-pay (WTP) threshold of €20,000, and €69,100 and €83,100 at a WTP threshold of €80,000, respectively. The incremental cost-effectiveness ratios were €12,479 for HTM versus UC and €8,270 for NTS versus UC. The current scenario (including telenurse cost inputs in NTS) yielded results that were slightly different from those for the original scenario, when comparing al...Continue Reading

Citations

Jun 21, 2019·PloS One·Andrija S GrustamJohan L Severens
Sep 18, 2020·ESC Heart Failure·Sergi YunUNKNOWN HERMeS trial investigators group
Jan 1, 2020·Obesity Science & Practice·John A BatsisRichard I Rothstein
Oct 7, 2020·Journal of Medical Internet Research·Chris BoodooEmily Seto
Dec 1, 2020·PharmacoEconomics·Gian Luca Di TannaGary Globe
Jan 17, 2019·ACS Central Science·Dionysios C ChristodouleasParthena Chorti
Dec 2, 2021·Journal of Telemedicine and Telecare·Carlos Hernandez-QuilesManuel Ollero-Baturone

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