Multiple chronic conditions and healthcare costs among adults

Sambamoorthi, Usha; Tan, Xi; Deb, Arijita

doi:10.1586/14737167.2015.1091730

Cited by 110 publications

(67 citation statements)

References 84 publications

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“…As a consequence of population growth as well as a larger elderly population living with multimorbidity and disability, healthcare and societal costs have steadily risen over recent decades in industrialized countries [16]. These rising costs threaten the sustainability of healthcare systems, and force policy-makers and financial stakeholders to make difficult decisions on how to allocate scarce resources [17].…”

Section: The Importance Of Economic Evaluations In Healthcarementioning

confidence: 99%

Cost-Utility of Attachment-Based Compassion Therapy (ABCT) for Fibromyalgia Compared to Relaxation: A Pilot Randomized Controlled Trial

D’Amico

Feliu‐Soler

Montero-Marín

et al. 2020

JCM

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A recent study has supported the efficacy of Attachment-Based Compassion Therapy (ABCT) compared to relaxation (REL) for the management of fibromyalgia (FM). The main objective of this paper is to examine the cost-utility of ABCT compared to REL in terms of effects on quality-adjusted life years (QALYs) as well as healthcare costs. Forty-two Spanish patients with FM received 8 weekly group sessions of ABCT or REL. Data collection took place at pre-and 3-month follow-up. Cost-utility of the two treatment groups (ABCT vs. REL) was compared by examining treatment outcomes in terms of QALYs (obtained with the EQ-5D-3L) and healthcare costs (data about service use obtained with the Client Service Receipt Inventory). Data analyses were computed from a completers, ITT, and per protocol approach. Data analysis from the healthcare perspective revealed that those patients receiving ABCT exhibited larger improvements in quality of life than those doing relaxation, while being less costly 3 months after their 8-week treatment program had ended (completers: incremental cost M, 95% CI = €−194.1 (−450.3 to 356.1); incremental effect M, 95% CI = 0.023 QALYs (0.010 to 0.141)). Results were similar using an ITT approach (incremental cost M, 95% CI = €−256.3 (−447.4 to −65.3); incremental effect M, 95% CI = 0.021 QALYs (0.009 to 0.033)). A similar pattern of results were obtained from the per protocol approach. This RCT has contributed to the evidence base of compassion-based interventions and provided useful information about the cost-utility of ABCT for FM patients when compared to relaxation. However, the small sample size and short follow-up period limited the generalizability of the findings.

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Section: The Importance Of Economic Evaluations In Healthcarementioning

confidence: 99%

Cost-Utility of Attachment-Based Compassion Therapy (ABCT) for Fibromyalgia Compared to Relaxation: A Pilot Randomized Controlled Trial

D’Amico

Feliu‐Soler

Montero-Marín

et al. 2020

JCM

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“…1 Furthermore, the presence of multimorbidity results in substantial health care spending. 2 Older adults with multimorbidity who are transitioning home after a hospital admission are particularly vulnerable to fragmented care, as they typically receive services from numerous providers who lack a common system for coordin ation and communication. There is limited evidence on how best to provide well-coordinated transitional care to older adults with multimorbidity and depressive symptoms.…”

mentioning

confidence: 99%

Engaging older adults as partners in transitional care research

Ganann

McAiney

Johnson

2018

CMAJ

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and the local Community Advisory Board members (patient and public partners, and health and social service providers) for their ongoing support for the study and valuable contributions to research design and implementation. The authors continue to grow in their understanding of how to meaningfully partner with patients and iteratively refine their strategies with constructive input from their patient and public partners.Correspondence to: Rebecca Ganann, ganann@mcmaster.ca

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“…The Vuong test was also performed to compare the zero‐inflated negative binomial model and standard negative binomial model and tested for over‐dispersion to compare the negative binomial model with the Poisson model. For easier interpretation of parameter estimates without smearing correction, we utilized the generalized linear model (GLM) with the log‐link function and gamma error distribution to evaluate the relationship between total medical costs and oral antidiabetic drug adherence. Absolute difference in dollars between adherence and non‐adherence was equal to the incremental change by exponentiating parameter estimates .…”

Section: Methodsmentioning

confidence: 99%