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Healthcare resource utilization and costs for multiple sclerosis management in the Campania region of Italy: Comparison between centre-based and local service healthcare delivery

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  • Marcello Moccia
  • Andrea Tajani
  • Rosa Acampora
  • Elisabetta Signoriello
  • Guido Corbisiero
  • Adriano Vercellone
  • Primo Sergianni
  • Francesca Pennino
  • Roberta Lanzillo
  • Raffaele Palladino
  • Antonio Capacchione
  • Vincenzo Brescia Morra
  • Giacomo Lus
  • Maria Triassi

Abstract

Background: Multiple sclerosis (MS) requires multidisciplinary management. We evaluated differences in healthcare resource utilization and costs between Federico II and Vanvitelli MS Centres of Naples (Italy), representative of centralised (i.e., MS Care Unit) and local service-based models of multidisciplinary care, respectively. Methods: We included MS patients continuously seen at the same local healthcare services and MS Centre (Federico II = 187; Vanvitelli = 90) from 2015 to 2017. Healthcare resources for MS treatment and management were collected and costs were calculated. Adherence was estimated as the rate of medication possession ratio (MPR) during 3-years of follow-up. Mixed-effect linear regression models were used to estimate differences in all outcomes between Federico II and Vanvitelli. Results: Patients at Federico II had more consultations within the MS centre (p

Suggested Citation

  • Marcello Moccia & Andrea Tajani & Rosa Acampora & Elisabetta Signoriello & Guido Corbisiero & Adriano Vercellone & Primo Sergianni & Francesca Pennino & Roberta Lanzillo & Raffaele Palladino & Antonio, 2019. "Healthcare resource utilization and costs for multiple sclerosis management in the Campania region of Italy: Comparison between centre-based and local service healthcare delivery," PLOS ONE, Public Library of Science, vol. 14(9), pages 1-12, September.
    • Handle: RePEc:plo:pone00:0222012
    DOI: 10.1371/journal.pone.0222012
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    References listed on IDEAS

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    1. Marcello Moccia & Raffaele Palladino & Roberta Lanzillo & Antonio Carotenuto & Cinzia Valeria Russo & Maria Triassi & Vincenzo Brescia Morra, 2017. "Healthcare Costs for Treating Relapsing Multiple Sclerosis and the Risk of Progression: A Retrospective Italian Cohort Study from 2001 to 2015," PLOS ONE, Public Library of Science, vol. 12(1), pages 1-12, January.
    2. Emer Fogarty & Cathal Walsh & Christopher McGuigan & Niall Tubridy & Michael Barry, 2014. "Direct and Indirect Economic Consequences of Multiple Sclerosis in Ireland," Applied Health Economics and Health Policy, Springer, vol. 12(6), pages 635-645, December.
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    1. Marcello Moccia & Vincenzo Brescia Morra & Roberta Lanzillo & Ilaria Loperto & Roberta Giordana & Maria Grazia Fumo & Martina Petruzzo & Nicola Capasso & Maria Triassi & Maria Pia Sormani & Raffaele P, 2020. "Multiple Sclerosis in the Campania Region (South Italy): Algorithm Validation and 2015–2017 Prevalence," IJERPH, MDPI, vol. 17(10), pages 1-10, May.

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