background: community nurses delivering heart failure self-care education improve patient outcomes, but the cost-effectiveness of this type of nurse-led intervention has not been recently established. aim: to determine the cost-effectiveness of community nurses' self-care education for heart failure patients compared with usual care. methods: we performed a cost-effectiveness analysis from the perspective of the Italian national health service. a markov model simulated the progression of a cohort of 1000 heart failure patients receiving remote self-care education after hospital discharge or usual care. outcomes included costs, quality-adjusted life years, and incremental cost-effectiveness ratio. the willingness-to-pay threshold was established at 40,000/quality-adjusted life years. findings: over the 20-year time horizon, community nurses' care incurred an extra cost of 1.3 million while gaining 247 quality-adjusted life years compared with usual care, and the incremental cost-effectiveness ratio was 5490/quality-adjusted life years. conclusions: the involvement of community nurses in self-care education is a potential cost-effective way of delivering home self-care education to heart failure patients.
Iovino, P., D'Angelo, D., Vellone, E., Ruggeri, M. (2024). A cost-effectiveness analysis of community nurse-led self-care education for heart failure patients. COLLEGIAN, 31(4), 258-266 [10.1016/j.colegn.2024.05.003].
A cost-effectiveness analysis of community nurse-led self-care education for heart failure patients
Iovino, Paolo;D'Angelo, Daniela;Vellone, Ercole;
2024-01-01
Abstract
background: community nurses delivering heart failure self-care education improve patient outcomes, but the cost-effectiveness of this type of nurse-led intervention has not been recently established. aim: to determine the cost-effectiveness of community nurses' self-care education for heart failure patients compared with usual care. methods: we performed a cost-effectiveness analysis from the perspective of the Italian national health service. a markov model simulated the progression of a cohort of 1000 heart failure patients receiving remote self-care education after hospital discharge or usual care. outcomes included costs, quality-adjusted life years, and incremental cost-effectiveness ratio. the willingness-to-pay threshold was established at 40,000/quality-adjusted life years. findings: over the 20-year time horizon, community nurses' care incurred an extra cost of 1.3 million while gaining 247 quality-adjusted life years compared with usual care, and the incremental cost-effectiveness ratio was 5490/quality-adjusted life years. conclusions: the involvement of community nurses in self-care education is a potential cost-effective way of delivering home self-care education to heart failure patients.| File | Dimensione | Formato | |
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