Php21 Analysis of Cost of Illness in the Netherlands in 2003: Integrating National and International Perspectives on Health Care Costs

Slobbe, L.C.J.; Gj, Kommer; Jj, Polder

doi:10.1016/s1098-3015(10)63239-1

Cited by 12 publications

(15 citation statements)

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“…Yet we can make a comparison, based on figures from the Statistics Netherlands [33]. These indicate that 73% of the general population visited a GP in 2005, 40% visited a medical specialist, 37% used prescribed medication, and 40% used over-the-counter medication.…”

Section: Discussionmentioning

confidence: 99%

Determinants of health care use in chronic fatigue syndrome patients: A cross-sectional study

Scheeres

Wensing

Severens

et al. 2008

Journal of Psychosomatic Research

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Section: Discussionmentioning

confidence: 99%

Determinants of health care use in chronic fatigue syndrome patients: A cross-sectional study

Scheeres

Wensing

Severens

et al. 2008

Journal of Psychosomatic Research

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“…In 2007, associated healthcare costs were estimated at €6.9 billion [2], almost 10% of the total healthcare costs in the Netherlands. It is expected that, due to ageing, this economic burden will increase over the next decades.…”

Section: Introductionmentioning

confidence: 99%

Effects and costs of home-based training with telemonitoring guidance in low to moderate risk patients entering cardiac rehabilitation: The FIT@Home study

Kraal

Peek

Marle

et al. 2013

BMC Cardiovasc Disord

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BackgroundPhysical training has beneficial effects on exercise capacity, quality of life and mortality in patients after a cardiac event or intervention and is therefore a core component of cardiac rehabilitation. However, cardiac rehabilitation uptake is low and effects tend to decrease after the initial rehabilitation period. Home-based training has the potential to increase cardiac rehabilitation uptake, and was shown to be safe and effective in improving short-term exercise capacity. Long-term effects on physical fitness and activity, however, are disappointing. Therefore, we propose a novel strategy using telemonitoring guidance based on objective training data acquired during exercise at home. In this way, we aim to improve self-management skills like self-efficacy and action planning for independent exercise and, consequently, improve long-term effectiveness with respect to physical fitness and physical activity. In addition, we aim to compare costs of this strategy with centre-based cardiac rehabilitation.Methods/designThis randomized controlled trial compares a 12-week telemonitoring guided home-based training program with a regular, 12-week centre-based training program of equal duration and training intensity in low to moderate risk patients entering cardiac rehabilitation after an acute coronary syndrome or cardiac intervention. The home-based group receives three supervised training sessions before they commence training with a heart rate monitor in their home environment. Participants are instructed to train at 70-85% of their maximal heart rate for 45–60 minutes, twice a week. Patients receive individual coaching by telephone once a week, based on measured heart rate data that are shared through the internet. Primary endpoints are physical fitness and physical activity, assessed at baseline, after 12 weeks and after one year. Physical fitness is expressed as peak oxygen uptake, assessed by symptom limited exercise testing with gas exchange analysis; physical activity is expressed as physical activity energy expenditure, assessed by tri-axial accelerometry and heart rate measurements. Secondary endpoints are training adherence, quality of life, patient satisfaction and cost-effectiveness.DiscussionThis study will increase insight in long-term effectiveness and costs of home-based cardiac rehabilitation with telemonitoring guidance. This strategy is in line with the trend to shift non-complex healthcare services towards patients’ home environments.Trial registrationDutch Trial Register: NTR3780. Clinicaltrials.gov register: NCT01732419

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“…An aging population demands more health care and puts pressure on the healthcare budget. The institutionalized care of patients with dementia is one of the three most expensive areas of health care 2,3 . This budgetary constraint necessitates the exploration of temporary alternatives, such as care at home and the postponement of institutionalization.…”

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confidence: 99%

Effectiveness of Nonpharmacological Interventions in Delaying the Institutionalization of Patients with Dementia: A Meta‐Analysis

Spijker

Vernooij‐Dassen

Vasse

et al. 2008

J American Geriatrics Society

189

160

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Contemporary healthcare policies are designed to shape the conditions that can help delay the institutionalization of patients with dementia. This can be done by developing support programs that minimize healthcare risks for the patients with dementia and their informal caregivers. Many support programs have been developed, and some of them are effective, but there has been no systematic review with a meta-analysis of all types of nonpharmacological support programs with odds of institutionalization or time to institutionalization as an outcome measure. A systematic review with a meta-analysis was therefore conducted to estimate the overall effectiveness of nonpharmacological support programs for caregivers and patients with dementia that are intended to delay institutionalization. Thirteen support programs with a total of 9,043 patients were included in the meta-analyses. The estimated overall effectiveness suggests that these programs significantly decrease the odds of institutionalization (odds ratio (OR)=0.66, 95% confidence interval (CI)=0.43-0.99, P=.05) and significantly increase the time to institutionalization (standardized mean difference (SMD)=1.44, 95% CI=0.07-2.81, P=.04). A meta-analysis of the best-quality studies still showed a positive significant result for the odds of institutionalization (OR=0.60, 95% CI=0.43-0.85, P=.004), although the time to institutionalization was no longer significant (SMD=1.55, 95% CI=-0.35- 3.45, P=.11). The analysis of the intervention characteristics showed that actively involving caregivers in making choices about treatments distinguishes effective from ineffective support programs. Further investigation should be directed toward calculating the potential efficiency of these support programs by applying net-benefit or cost-effectiveness analysis.

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Php21 Analysis of Cost of Illness in the Netherlands in 2003: Integrating National and International Perspectives on Health Care Costs

Cited by 12 publications

References 0 publications

Determinants of health care use in chronic fatigue syndrome patients: A cross-sectional study

Determinants of health care use in chronic fatigue syndrome patients: A cross-sectional study

Effects and costs of home-based training with telemonitoring guidance in low to moderate risk patients entering cardiac rehabilitation: The FIT@Home study

Effectiveness of Nonpharmacological Interventions in Delaying the Institutionalization of Patients with Dementia: A Meta‐Analysis

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