Cost-Effectiveness of Warfarin Medication Therapy Adherence Clinic versus Usual Medical Clinic at Kuala Lumpur Hospital

Value in Health Regional Issues
Subramaniam ThanimalaiJeyaindran Sinnadurai

Abstract

Systematic anticoagulation management clinic is recommended to manage patients on chronic warfarin therapy. In Malaysia, the service was introduced as warfarin medication therapy adherence clinic (WMTAC), which is managed by pharmacists with a physician advisory. To assess the cost-effectiveness of WMTAC in comparison with usual medical clinic (UMC), which is managed by medical officers in Kuala Lumpur Hospital, a tertiary referral hospital in Malaysia. Data from a 6-month retrospective cohort study comparing the two clinics and the mean percentages of time in the therapeutic range for the patients were used to estimate the cost-effectiveness. The mean clinic costs were estimated using the time-motion study. A Markov model with a 6-monthly cycle was used to simulate lifetime cost-effectiveness from the perspective of the health care service provider. The base-case analysis assumed a cohort of patients with atrial fibrillation, 57 years of age with comorbid illnesses. The transition probabilities of these clinic outcomes were obtained from a literature search. Future costs and effectiveness were discounted by 3% to convert to present values. All costs were in Malaysian ringgit standardized for the year 2007. The mean 6-month tre...Continue Reading

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Citations

Jun 9, 2020·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Jo-Anne Manski-NankervisKirsty Buising
Sep 5, 2020·Risk Management and Healthcare Policy·Sultan AlghadeeerMohammed N Alarifi
Nov 8, 2019·Value in Health Regional Issues·Ku Nurhasni Ku Abd RahimSharifa Ezat Wan Puteh

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