Effectiveness of an integrated care program for intensive home care
                        services after discharge of stroke patients

Carot-Sans, Gerard; Vela, Emili; Plaza, Aina; Contel, Joan Carles; Plana, Mercè Salvat; Fabà, Marta; Giralt, Andrea; Ribera, Aída; Santaeugènia, Sebastià; Piera-Jiménez, Jordi

doi:10.5334/ijic.icic22141

Cited by 1 publication

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“…Particularly in rural regions, there is a risk that patients will not have access to appropriate aftercare. Various interventions aimed at closing this gap are currently under discussion and being tested [ 18 , 19 , 20 , 21 ]. According to the relevant literature, the managed care approach, with its various organizational forms and instruments, seems to be suitable for both cost savings and quality improvement [ 22 , 23 ].…”

Section: Introductionmentioning

confidence: 99%

Secondary Prevention via Case Managers in Stroke Patients: A Cost-Effectiveness Analysis of Claims Data from German Statutory Health Insurance Providers

Duevel,

Gruhn,

Grosser

et al. 2024

Healthcare

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Strokes remain a leading cause of death and disability worldwide. The STROKE OWL study evaluated a novel case management approach for patients with stroke (modified Rankin Scale 0–4) or transient ischemic attack (TIA) who received support across healthcare settings and secondary prevention training from case managers for one year. The primary aim of this quasi-experimental study was a reduction in stroke recurrence. Here, we report the results of a health economic analysis of the STROKE OWL study, conducted in accordance with CHEERS guidelines. The calculations were based on claims data of cooperating statutory health insurance companies. In addition to a regression analysis for cost comparison, the incremental cost-effectiveness ratio was determined, and a probabilistic sensitivity analysis was carried out. In total, 1167 patients per group were included in the analysis. The intervention group incurred 32.3% higher direct costs (p < 0.001) than the control group. With a difference of EUR 1384.78 (95% CI: [1.2384–1.4143], p < 0.0001) and a 5.32% increase in hazards for the intervention group (HR = 1.0532, 95% CI: [0.7869–1.4096], p = 0.7274) resulting in an ICER of EUR 260.30, we found that the case management intervention dominated in the total stroke population, even for an arbitrarily high willingness to pay. In the TIA subgroup, however, the intervention was cost-effective even for a low willingness to pay. Our results are limited by small samples for both TIA and severe stroke patients and by claims data heterogeneity for some cost components, which had to be excluded from the analysis. Future research should investigate the cost-effectiveness of case management interventions for both severe stroke and TIA populations using appropriate data.

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Section: Introductionmentioning

confidence: 99%

Secondary Prevention via Case Managers in Stroke Patients: A Cost-Effectiveness Analysis of Claims Data from German Statutory Health Insurance Providers

Duevel,

Gruhn,

Grosser

et al. 2024

Healthcare

View full text Add to dashboard Cite

show abstract

Effectiveness of an integrated care program for intensive home care services after discharge of stroke patients

Abstract: Effectiveness of an integrated care program for intensive home care services after discharge of stroke patients

Cited by 1 publication

References 0 publications

Secondary Prevention via Case Managers in Stroke Patients: A Cost-Effectiveness Analysis of Claims Data from German Statutory Health Insurance Providers

Secondary Prevention via Case Managers in Stroke Patients: A Cost-Effectiveness Analysis of Claims Data from German Statutory Health Insurance Providers

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