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Effectiveness and Cost of a Personalized Reminder Intervention to Improve Adherence to Glaucoma Care

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Listed:
  • Laura T. Pizzi

    (Thomas Jefferson University)

  • Judie Tran

    (Wills Eye Hospital Glaucoma Research Center)

  • Anousheh Shafa

    (Wills Eye Hospital Glaucoma Research Center)

  • Michael Waisbourd

    (Wills Eye Hospital Glaucoma Research Center)

  • Lisa Hark

    (Wills Eye Hospital Glaucoma Research Center)

  • Ann P. Murchison

    (Wills Eye Hospital Glaucoma Research Center)

  • Yang Dai

    (Wills Eye Hospital Glaucoma Research Center)

  • Eileen L. Mayro

    (Wills Eye Hospital Glaucoma Research Center)

  • Julia A. Haller

    (Wills Eye Hospital)

Abstract

Background Glaucoma is the leadi ng cause of irreversible blindness in the USA. Glaucomatous vision loss is preventable with proper eye care, including appointment adherence. Therefore, interventions that improve appointment adherence can reduce the number of patients with more severe glaucoma. Objectives The primary study aim was to determine the efficacy and cost-effectiveness of a multifaceted personal reminder intervention, which included a customized letter and personal telephone outreach, in improving appointment adherence of patients with glaucoma. A secondary study aim was to identify patient characteristics that were associated with non-adherence. Methods This prospective, randomized, controlled study included a cost-effectiveness analysis completed using a decision analytic model. The subjects included 256 patients with glaucoma. Study measures included appointment adherence and incremental cost effectiveness ratios. Results Patients in the intervention group were more likely to adhere to appointments (82.31 vs. 69.05 %; RR 1.23; 95 % CI 1.04–1.37, p

Suggested Citation

  • Laura T. Pizzi & Judie Tran & Anousheh Shafa & Michael Waisbourd & Lisa Hark & Ann P. Murchison & Yang Dai & Eileen L. Mayro & Julia A. Haller, 2016. "Effectiveness and Cost of a Personalized Reminder Intervention to Improve Adherence to Glaucoma Care," Applied Health Economics and Health Policy, Springer, vol. 14(2), pages 229-240, April.
    • Handle: RePEc:spr:aphecp:v:14:y:2016:i:2:d:10.1007_s40258-016-0231-8
    DOI: 10.1007/s40258-016-0231-8
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    1. Laura Pizzi & Camila Zangalli & Ann Murchison & Nicole Hale & Lisa Hark & Yang Dai & Benjamin Leiby & Julia Haller, 2015. "Prospective Randomized Controlled Trial Comparing the Outcomes and Costs of Two Eyecare Adherence Interventions in Diabetes Patients," Applied Health Economics and Health Policy, Springer, vol. 13(2), pages 253-263, April.
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