TY - JOUR
T1 - The cost-utility of a care coordination/home telehealth programme for veterans with diabetes
AU - Barnett, Tracey E.
AU - Chumbler, Neale R.
AU - Vogel Bruce, W.
AU - Beyth, Rebecca J.
AU - Ryan, Patricia
AU - Figueroa, Sarita
PY - 2007/9/1
Y1 - 2007/9/1
N2 - We examined the cost-effectiveness of a care coordination/home telehealth (CCHT) programme for veterans with diabetes. We conducted a retrospective, pre-post study which compared data for a cohort of veterans (n = 370) before and after the introduction of the CCHT programme for two periods of 12 months. To assess the cost-effectiveness, we converted the patients' health-related quality of life data into Quality Adjusted Life Year (QALY) utility scores and used costs to construct incremental cost-effectiveness ratios (ICERs). The overall mean ICER for the programme at one-year was $60,941, a value within the commonly-cited range of cost-effectiveness of $50,000-100,000. The programme was cost-effective for one-third of the participants. Characteristics that contributed to cost-effectiveness were marital status, location and clinically relevant co-morbidities. By targeting the intervention differently in future work, it may become cost-effective for a greater proportion of patients.
AB - We examined the cost-effectiveness of a care coordination/home telehealth (CCHT) programme for veterans with diabetes. We conducted a retrospective, pre-post study which compared data for a cohort of veterans (n = 370) before and after the introduction of the CCHT programme for two periods of 12 months. To assess the cost-effectiveness, we converted the patients' health-related quality of life data into Quality Adjusted Life Year (QALY) utility scores and used costs to construct incremental cost-effectiveness ratios (ICERs). The overall mean ICER for the programme at one-year was $60,941, a value within the commonly-cited range of cost-effectiveness of $50,000-100,000. The programme was cost-effective for one-third of the participants. Characteristics that contributed to cost-effectiveness were marital status, location and clinically relevant co-morbidities. By targeting the intervention differently in future work, it may become cost-effective for a greater proportion of patients.
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U2 - 10.1258/135763307781644843
DO - 10.1258/135763307781644843
M3 - Article
C2 - 17785029
AN - SCOPUS:40149087403
SN - 1357-633X
VL - 13
SP - 318
EP - 321
JO - Journal of Telemedicine and Telecare
JF - Journal of Telemedicine and Telecare
IS - 6
ER -