Valor social de un abordaje ideal en insuficiencia cardiaca

Merino, María J.; Jiménez, M. Casado; Ivanova, Yoana; González, Almudena Cabezas; Villoro, Renata; Hidalgo, Álvaro; Casariego, Emilio; Manito, Nicolás; Saturnino, María Teresa San; Fajardo, Tomás Juan; Blanch, Carles; Lloret, Josefina

doi:10.37666/i2-2017

Cited by 3 publications

(2 citation statements)

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“…The obtained results were reported to the Project Advisory Committee for validation. Subsequently, they were disclosed in 2017 at the congresses of the Spanish Society of Cardiology, the Spanish Society of Internal Medicine, and the Spanish Association of Health Economics, as well as via media and social networks.…”

Section: Resultsmentioning

confidence: 99%

The social return on investment of a new approach to heart failure in theSpanish National Health System

et al. 2020

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Aims We aim to agree on a set of proposals to improve the current management of heart failure (HF) within the Spanish National Health System (SNHS) and apply the social return on investment (SROI) method to measure the social impact that these proposals would generate. Methods and results A multidisciplinary working team of 16 experts was set up, with representation from the main stakeholders regarding HF: medical specialists (cardiologists, internal medicine physicians, general practitioners, and geriatric physicians), nursing professionals, health management professionals, patients, and informal caregivers. This team established a set of proposals to improve the management of HF according to the main areas of HF care: emergency and hospitalization, primary care, cardiology, and internal medicine. A forecast‐type SROI method, with a 1‐year time frame, was applied to measure the social impact resulting from the implementation of these proposals. The required investment and social return were estimated and summarized into a ratio indicating how much social return could be generated for each euro invested. Intangible returns were included and quantified through financial proxies. The approach to improve the management of HF consisted of 28 proposals, including the implementation of a case management nurse network, standardization of operational protocols, psychological support, availability of echocardiography machines at emergency departments, stationary units and primary care, early specialist visits after hospital discharge, and cardiac rehabilitation units, among others. These proposals would benefit not only patients and their informal caregivers but also the SNHS. Regarding patients, proposals would increase their autonomy in everyday activities, decrease anxiety, increase psychological and physical well‐being, improve pharmacological adherence and self‐care, enhance understanding of the disease, delay disease progression, expedite medical assessment, and prevent the decrease in work productivity associated with HF management. Regarding informal caregivers, proposals would increase their quality of life; improve their social, economic, and emotional well‐being; and reduce their care burden. The SNHS would benefit from shorter stays of HF patients at intensive care units and reduction of hospitalizations and admissions to emergency departments. The investment needed to implement these proposals would amount to €548m and yield a social return of €1932m, that is, €3.52 for each euro invested. Conclusions The current management of HF could be improved by a set of proposals that resulted in an overall positive social return, varying between areas of analysis. This may guide the allocation of healthcare resources and improve the quality of life of patients with HF.

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Section: Resultsmentioning

confidence: 99%

The social return on investment of a new approach to heart failure in theSpanish National Health System

et al. 2020

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“…Todos ellos con personas con discapacidad intelectual. En otro tipo de población, y haciendo un análisis de carácter prospectivo, se encuentra en España el trabajo de Merino et al (2017) sobre el valor social del abordaje de la insuficiencia cardíaca. En esta misma línea, encontramos el trabajo de González et al (2016) para el abordaje de la Psoriasis.…”

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Retorno Económico y Social de la Inversión en un Centro de Rehabilitación Laboral

et al. 2022

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El presente trabajo es un estudio piloto que tiene como objetivo el análisis del retorno social y económico que se produce en un Centro de Rehabilitación Laboral. Este análisis se lleva a cabo siguiendo la metodología de Retorno Social de la Inversión. Se analizaron los retornos de un Centro de Rehabilitación Laboral que en el año 2017 atendió a un total de 93 personas (35,5% mujeres) y a 27 familiares. Los resultados mostraron un retorno en un año de un 137%, es decir 1,37€ por cada euro invertido. Los stakeholders que más retornaron son las propias personas atendidas (0,48€ por 1€ invertido), la administración Pública (0,31€ por 1€ invertido) y los trabajadores del centro (0,26€ por 1€ invertido). Los proyectos sociales de apoyo a la inserción laboral a personas con trastornos mental grave son económicamente sostenibles y con impacto en la sociedad. Análisis de este tipo complementan la evaluación de efectividad y favorecen la toma de decisiones en la inversión pública.

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Budget impact of ferric carboxymaltose treatment in patients with chronic heart failure and iron deficiency in Spain

Delgado

Oliva

González-Franco

et al. 2020

Journal of Medical Economics

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Objective: The treatment of iron deficiency (ID) with ferric carboxymaltose (FCM) improves the functional class and quality of life of chronic heart failure (CHF) patients with reduced left ventricular ejection fraction (LVEF), and reduces the rate of hospitalization due to worsening CHF. This study aims to evaluate the budget impact for the Spanish National Health System (SNHS) of treating ID in reduced LVEF CHF with FCM compared to non-iron treatment. Methods: We simulated a hypothetical cohort of 1000 CHF patients with ID and reduced LVEF based on the Spanish population characteristics. A decision-analytic model was also built using the data from the largest FCM clinical trial (CONFIRM-HF) that lasted for a year. We considered the use of healthcare resources from a national prospective study. A deterministic sensitivity analysis was carried out varying the corresponding baseline data by ±25%. Results: The cost of treating the simulated population with FCM was e2,570,914, while that of the non-iron treatment was e3,105,711, which corresponds to a cost saving of e534,797 per 1,000 patients in one year. Cost savings were mainly due to a decrease in the number of hospitalizations. All sensitivity analysis showed cost savings for the SNHS. Conclusions: FCM results in an annual cost saving of e534.80 per patient, and would thus be expected to reduce the economic burden of CHF in Spain.

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Valor social de un abordaje ideal en insuficiencia cardiaca

Cited by 3 publications

References 0 publications

The social return on investment of a new approach to heart failure in theSpanish National Health System

The social return on investment of a new approach to heart failure in theSpanish National Health System

Retorno Económico y Social de la Inversión en un Centro de Rehabilitación Laboral

Budget impact of ferric carboxymaltose treatment in patients with chronic heart failure and iron deficiency in Spain

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