To evaluate the cost-effectiveness of the Arthritis Self-Help Course in reducing the pain of arthritis, the leading cause of disability in the United States and a common problem among older adults.
A decision model was used to examine the cost-effectiveness of the Arthritis Self-Help Course among individuals with arthritis over a 4-year analytic horizon from 2 perspectives, namely, society and the health care system.
The Arthritis Self-Help Course was assumed to reduce pain by 20% and physician visits for arthritis by 40% among individuals receiving conventional medical therapy.
Estimates for program costs, costs for physician visits, and time and transportation costs were derived from the published literature and expert opinion.
Sensitivity analyses were conducted on all relevant parameters.
Arthritis pain and costs (program, physician visit plus/minus time and transportation) were expressed as cost per person per unit reduction in pain.
Because nearly all analyses showed the program to be cost saving, we simply report the reduction in joint pain and the cost savings, because standardizing cost savings is not a useful concept.
From both the societal and health care system perspectives, the Arthritis Self-Help Course was cost saving in base-case analyses (reducing pain by 0.9 units while saving $320 and $267, respectively) and throughout the range of reasonable values used in univariate sensitivity analyses. (...)
Mots-clés Pascal : Arthrite, Articulation, Programme, Prévention, Analyse coût efficacité, Economie santé, Revue bibliographique, Traitement, Homme, Système ostéoarticulaire pathologie, Arthropathie
Mots-clés Pascal anglais : Arthritis, Joint, Program, Prevention, Cost efficiency analysis, Health economy, Bibliographic review, Treatment, Human, Diseases of the osteoarticular system, Arthropathy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0295225
Code Inist : 002B15D. Création : 27/11/1998.