Cost-Effectiveness of Inter-Professional Collaboration to Reduce Hospitalisations in Nursing Home Residents: Results from the German Interprof ACT Trial
Beteiligte Einrichtungen
Abstract
Methods: Cost-effectiveness of interprof ACT interventions was evaluated and compared to current standard of care (SOC) over 12 months, including 622 NHRs in 34 NHs in Germany. Multiplying resource use of healthcare services with German-specific unit costs generated costs. Health outcome was measured in quality-adjusted life-years QALYs), utility by multiplying EQ-5D-5L values with German-specific utility weights. Incremental cost-effectiveness analysis used an intention-to-treat approach and scenario analyses (SAs). Net-benefit-regression and cost-effectiveness acceptability curves addressed uncertainty. A German healthcare insurance perspective was assumed.
Results: Base case results showed non-significant cost savings of 851.88€ and non-significant QALY loss of –0,056.
Discussion: Dependency levels at baseline were non-significantly higher in IG compared to control group (CG). Lack of baseline costing data eliminated possibility to evaluate changes in costs due to the interprof ACT measures for both groups.
Conclusion: Interprof ACT interventions are not cost-effective compared to current SOC.
Bibliografische Daten
Originalsprache | Englisch |
---|---|
Aufsatznummer | 8 |
ISSN | 1568-4156 |
DOIs | |
Status | Veröffentlicht - 19.04.2023 |
Publikationen
Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung