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Person-Centred Care in Patients with Acute Coronary Syndrome: Cost-Effectiveness Analysis Alongside a Randomised Controlled Trial

Author

Listed:
  • Laura Pirhonen

    (Sahlgrenska Academy, University of Gothenburg
    University of Gothenburg
    University of Gothenburg)

  • Kristian Bolin

    (University of Gothenburg)

  • Elisabeth Hansson Olofsson

    (Sahlgrenska Academy, University of Gothenburg
    University of Gothenburg)

  • Andreas Fors

    (Sahlgrenska Academy, University of Gothenburg
    University of Gothenburg
    Närhälsan Research and Development Primary Health Care, Region Västra Götaland)

  • Inger Ekman

    (Sahlgrenska Academy, University of Gothenburg
    University of Gothenburg)

  • Karl Swedberg

    (University of Gothenburg
    Sahlgrenska Academy, University of Gothenburg
    Imperial College)

  • Hanna Gyllensten

    (Sahlgrenska Academy, University of Gothenburg
    University of Gothenburg)

Abstract

Background Costs associated with an ACS incident are most pronounced in the acute phase but are also considerably long after the initial hospitalisation, partly due to considerable productivity losses, which constitute a substantial part of the economic burden of the disease. Studies suggest that person-centred care may improve health-related quality of life and reduce the costs associated with the disease. Objective The aim of this study was to calculate the cost-effectiveness of a person-centred care intervention compared with usual care in patients with acute coronary syndrome (ACS), in a Swedish setting. Methods Primary data from a randomised controlled trial of a person-centred intervention in patients with ACS was used. The person-centred intervention involved co-creation of a health plan between the patient and healthcare professionals, based on the patient’s narrative. Thereafter, goals for the recovery period were set and followed-up continuously throughout the intervention. The clinical data, collected during the randomised controlled trial, was complemented with data from national health registers and the Swedish Social Insurance Agency. The study was conducted at two hospitals situated in a Swedish municipality. Patients were enrolled between June 2011 and February 2014 (192 patients were included in this study; 89 in the intervention group and 103 in the control group). Incremental cost-effectiveness ratios were calculated separately for the age groups

Suggested Citation

  • Laura Pirhonen & Kristian Bolin & Elisabeth Hansson Olofsson & Andreas Fors & Inger Ekman & Karl Swedberg & Hanna Gyllensten, 2019. "Person-Centred Care in Patients with Acute Coronary Syndrome: Cost-Effectiveness Analysis Alongside a Randomised Controlled Trial," PharmacoEconomics - Open, Springer, vol. 3(4), pages 495-504, December.
    • Handle: RePEc:spr:pharmo:v:3:y:2019:i:4:d:10.1007_s41669-019-0126-3
    DOI: 10.1007/s41669-019-0126-3
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    References listed on IDEAS

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    1. Linda Ryen & Mikael Svensson, 2015. "The Willingness to Pay for a Quality Adjusted Life Year: A Review of the Empirical Literature," Health Economics, John Wiley & Sons, Ltd., vol. 24(10), pages 1289-1301, October.
    2. Rita Faria & Manuel Gomes & David Epstein & Ian White, 2014. "A Guide to Handling Missing Data in Cost-Effectiveness Analysis Conducted Within Randomised Controlled Trials," PharmacoEconomics, Springer, vol. 32(12), pages 1157-1170, December.
    3. Pirhonen, Laura & Olofsson, Elisabeth Hansson & Fors, Andreas & Ekman, Inger & Bolin, Kristian, 2017. "Effects of person-centred care on health outcomes—A randomized controlled trial in patients with acute coronary syndrome," Health Policy, Elsevier, vol. 121(2), pages 169-179.
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    Cited by:

    1. Roman A. Lewandowski & Jędrzej B. Lewandowski & Inger Ekman & Karl Swedberg & Jan Törnell & Heather L. Rogers, 2021. "Implementation of Person-Centered Care: A Feasibility Study Using the WE-CARE Roadmap," IJERPH, MDPI, vol. 18(5), pages 1-11, February.
    2. Laura Pirhonen & Hanna Gyllensten & Andreas Fors & Kristian Bolin, 2020. "Modelling the cost-effectiveness of person-centred care for patients with acute coronary syndrome," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(9), pages 1317-1327, December.

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