Resource use and cost implications of implementing a heart failure program for patients with systolic heart failure in Swedish primary health care
2014 (English)In: International Journal of Cardiology, ISSN 0167-5273, E-ISSN 1874-1754, Vol. 176, 731-738 p.Article in journal (Refereed) Published
Aim: Heart failure (HF) is a common but serious condition which involves a significant economic burden on the health care economy. The purpose of this study was to evaluate cost and quality of life (QoL) implications of implementing a HF management program (HFMP) in primary health care (PHC).
Methods and results: This was a prospective randomized open-label study including 160 patientswith a diagnosis of HF from five PHC centers in south-eastern Sweden. Patients randomized to the intervention group received information about HF from HF nurses and from a validated computer-based awareness program. HF nurses and physicians followed the patients intensely in order to optimize HF treatment according to current guidelines. The patients in the control group were followed by their regular general practitioner (GP) and received standard treatment according to local management routines. No significant changes were observed in NYHA class and quality-adjusted life years (QALY), implying that functional class and QoL were preserved. However, costs for hospital care (HC) and PHC were reduced by EUR 2167, or 33%. The total cost was EUR 4471 in the intervention group and EUR 6638 in the control group.
Conclusions: Introducing HFMP in Swedish PHC in patients with HF entails a significant reduction in resource utilization and costs, and maintains QoL. Based on these results, a broader implementation of HFMP in PHC may be recommended. However, results should be confirmed with extended follow-up to verify long-term effects.
Place, publisher, year, edition, pages
2014. Vol. 176, 731-738 p.
Heart failure. Disease management. Primary health care. Resource utilization. Health care cost.
Cardiac and Cardiovascular Systems
IdentifiersURN: urn:nbn:se:liu:diva-104953DOI: 10.1016/j.ijcard.2014.07.105ISI: 000343893300049PubMedID: 25131925OAI: oai:DiVA.org:liu-104953DiVA: diva2:700504
On the day of the defence day of this article the status of the article was Manuscript and the original title was Resource use and cost implications of implementing a heart failure programme in Swedish Primary Health Care.2014-03-042014-03-042015-03-31Bibliographically approved