Cost-effectiveness of an educational ...
Document type :
Compte-rendu et recension critique d'ouvrage
Title :
Cost-effectiveness of an educational healthcare circuit for bariatric surgery in France
Author(s) :
Duenas, Alejandra [Auteur]
ICN Business School
Centre Européen de Recherche en Economie Financière et Gestion des Entreprises [CEREFIGE]
Di Martinelly, Christine [Auteur]
Lille économie management - UMR 9221 [LEM]
Aelbrecht, A. [Auteur]
Allard, P.-E. [Auteur]
Ramsay Générale de Santé - Hôpital Privé La Louvière
Rousseaux, J. [Auteur]
Ramsay Générale de Santé - Hôpital Privé La Louvière
ICN Business School
Centre Européen de Recherche en Economie Financière et Gestion des Entreprises [CEREFIGE]
Di Martinelly, Christine [Auteur]
Lille économie management - UMR 9221 [LEM]
Aelbrecht, A. [Auteur]
Allard, P.-E. [Auteur]
Ramsay Générale de Santé - Hôpital Privé La Louvière
Rousseaux, J. [Auteur]
Ramsay Générale de Santé - Hôpital Privé La Louvière
Journal title :
Public Health
Pages :
43-51
Publisher :
Elsevier
Publication date :
2019-07
ISSN :
0033-3506
English keyword(s) :
Obesity
Bariatric surgery
Cost-effectiveness
Type 2 diabetes
Cardiovascular diseases
Bariatric surgery
Cost-effectiveness
Type 2 diabetes
Cardiovascular diseases
HAL domain(s) :
Sciences de l'Homme et Société/Gestion et management
English abstract : [en]
ObjectivesAn educational healthcare circuit (EHC) is proposed with the objective of preventing weight recovery of patients after bariatric surgery through education and lifestyle change. The objective of this study was to ...
Show more >ObjectivesAn educational healthcare circuit (EHC) is proposed with the objective of preventing weight recovery of patients after bariatric surgery through education and lifestyle change. The objective of this study was to measure the viability of the EHC (shared medical appointments [SMAs] combined with bariatric surgery) through cost-effectiveness analysis. The EHC presented in this study is innovative because it offers a multidisciplinary approach based on medical, psychological and dietetic expertise to combat obesity. The strategy is to give the patient a diagnosis and then a personalised follow-up.Study designA mathematical model based on a decision tree (1 year) and a Markov model (10 years) to measure the efficiency and cost of an EHC in comparison with the customary care offered in France were built.MethodsThe effects of the EHC were observed for the prevalence of type 2 diabetes and the risk of cardiovascular disease. The chosen financial perspective is from the point of view of the French social security system.ResultsThe EHC records an incremental cost-effective ratio (ICER) of € 48,315.43 per quality-adjusted life year (QALY) over a 1-year horizon and € 28,283.77 per QALY over 10 years (with discount rate of 8%: € 25,362.85 per QALY).ConclusionThe results suggest that an EHC is more expensive yet more effective than usual care. That is, in the short term, the costs are high, but at 10 years, the treatment is cost-effective, representing a feasible alternative for those patients who qualify for bariatric surgery in France.Show less >
Show more >ObjectivesAn educational healthcare circuit (EHC) is proposed with the objective of preventing weight recovery of patients after bariatric surgery through education and lifestyle change. The objective of this study was to measure the viability of the EHC (shared medical appointments [SMAs] combined with bariatric surgery) through cost-effectiveness analysis. The EHC presented in this study is innovative because it offers a multidisciplinary approach based on medical, psychological and dietetic expertise to combat obesity. The strategy is to give the patient a diagnosis and then a personalised follow-up.Study designA mathematical model based on a decision tree (1 year) and a Markov model (10 years) to measure the efficiency and cost of an EHC in comparison with the customary care offered in France were built.MethodsThe effects of the EHC were observed for the prevalence of type 2 diabetes and the risk of cardiovascular disease. The chosen financial perspective is from the point of view of the French social security system.ResultsThe EHC records an incremental cost-effective ratio (ICER) of € 48,315.43 per quality-adjusted life year (QALY) over a 1-year horizon and € 28,283.77 per QALY over 10 years (with discount rate of 8%: € 25,362.85 per QALY).ConclusionThe results suggest that an EHC is more expensive yet more effective than usual care. That is, in the short term, the costs are high, but at 10 years, the treatment is cost-effective, representing a feasible alternative for those patients who qualify for bariatric surgery in France.Show less >
Language :
Anglais
Popular science :
Non
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