To measure costs and cost effectiveness of the British family heart study cardiovascular screening and intervention programme.
Design-Cost effectiveness analysis of randomised controlled trial.
Clinical and resource use data taken from trial and unit cost data from external estimates.
Subjects-4185 men aged 40-59 and their 2827 partners.
Intervention-Nurse led programme using a family centred approach, with follow up according to degree of risk.
Main outcome measures-Cost of the programme itself ; overall short term cost to NHS ; cost per 1% reduction in coronary risk at one year.
Estimated cost of putting the programme into practice for one year was £63 per person (95% confidence interval £60 to £65).
The overall short term cost to the health service was £77 per man (£29 to £124) but only £13 per woman (-£48 to £74), owing to differences in utilisation of other health service resources.
The cost per 1% reduction in risk was £5.08 per man (£5.92 including broader health service costs) and £5.78 per woman (£1.28 taking into account wider health service savings).
Conclusions-The direct cost of the programme to a four partner practice of 7500 patients would be approximately £58 000.
Annually, £8300 would currently be paid to a practice of this size working to the maximum target on the health promotion bands, plus any additional reimbursement of practice staff salaries for which the practice qualif...
Mots-clés Pascal : Politique sanitaire, Soin santé primaire, Prévention, Cardiopathie coronaire, Programme éducatif, Dépistage, Analyse coût efficacité, Homme, Grande Bretagne, Royaume Uni, Europe, Appareil circulatoire pathologie
Mots-clés Pascal anglais : Health policy, Primary health care, Prevention, Coronary heart disease, Educational schedule, Medical screening, Cost efficiency analysis, Human, Great Britain, United Kingdom, Europe, Cardiovascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0279785
Code Inist : 002B30A03B. Création : 199608.