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  • Economics of Team-Based Car...
    Jacob, Verughese; Reynolds, Jeffrey A.; Chattopadhyay, Sajal K.; Nowak, Keith; Hopkins, David P.; Fulmer, Erika; Bhatt, Ami N.; Therrien, Nicole L.; Cuellar, Alison E.; Kottke, Thomas E.; Clymer, John M.; Rask, Kimberly J.

    American journal of preventive medicine, 10/2023, Letnik: 65, Številka: 4
    Journal Article

    This paper examined the recent evidence from economic evaluations of team-based care for controlling high blood pressure. The search covered studies published from January 2011 through January 2021 and was limited to those based in the U.S. and other high-income countries. This yielded 35 studies: 23 based in the U.S. and 12 based in other high-income countries. Analyses were conducted from May 2021 through February 2023. All monetary values reported are in 2020 U.S. dollars. The median intervention cost per patient per year was $438 for U.S. studies and $299 for all studies. The median change in healthcare cost per patient per year after the intervention was −$140 for both U.S. studies and for all studies. The median net cost per patient per year was $439 for U.S. studies and $133 for all studies. The median cost per quality-adjusted life year gained was $12,897 for U.S. studies and $15,202 for all studies, which are below a conservative benchmark of $50,000 for cost-effectiveness. Intervention cost and net cost were higher in the U.S. than in other high-income countries. Healthcare cost averted did not exceed intervention cost in most studies. The evidence shows that team-based care for blood pressure control is cost-effective, reaffirming the favorable cost-effectiveness conclusion reached in the 2015 systematic review.