Please use this identifier to cite or link to this item:
http://doi.org/10.25358/openscience-6363
Authors: | Eggebrecht, Lisa Ludolph, Paul Göbel, Sebastian Panova-Noeva, Marina Arnold, Natalie Nagler, Markus Bickel, Christoph Lauterbach, Michael Hardt, Roland ten Cate, Hugo Lackner, Karl J. Espinola-Klein, Christine Münzel, Thomas Prochaska, Jürgen H. Wild, Philipp S. |
Title: | Cost saving analysis of specialized, eHealth-based management of patients receiving oral anticoagulation therapy : results from the thrombEVAL study |
Online publication date: | 24-Sep-2021 |
Year of first publication: | 2021 |
Language: | english |
Abstract: | To evaluate the cost-saving of a specialized, eHealth-based management service (CS) in comparison to regular medical care (RMC) for the management of patients receiving oral anticoagulation (OAC) therapy. Costs of hospitalization were derived via diagnosis-related groups which comprise diagnoses (ICD-10) and operation and procedure classification system (OPS), which resulted in OAC-related (i.e. bleeding/ thromboembolic events) and non-OAC-related costs for both cohorts. Cost for anticoagulation management comprised INR-testing, personnel, and technical support. In total, 705 patients were managed by CS and 1490 patients received RMC. The number of hospital stays was significantly lower in the CS cohort compared to RMC (CS: 23.4/100 py; RMC: 68.7/100 py); with the most pronounced difference in OAC-related admissions (CS: 2.8/100 py; RMC: 13.3/100 py). Total costs for anticoagulation management amounted to 101 EUR/py in RMC and 311 EUR/py in CS, whereas hospitalization costs were 3261 [IQR 2857–3689] EUR/py in RMC and 683 [504–874] EUR/py in CS. This resulted in an overall cost saving 2368 EUR/py favoring the CS. The lower frequency of adverse events in anticoagulated patients managed by the telemedicine-based CS compared to RMC translated into a substantial cost-saving, despite higher costs for the specialized management of patients. |
DDC: | 610 Medizin 610 Medical sciences |
Institution: | Johannes Gutenberg-Universität Mainz |
Department: | FB 04 Medizin |
Place: | Mainz |
ROR: | https://ror.org/023b0x485 |
DOI: | http://doi.org/10.25358/openscience-6363 |
Version: | Published version |
Publication type: | Zeitschriftenaufsatz |
License: | CC BY |
Information on rights of use: | https://creativecommons.org/licenses/by/4.0/ |
Journal: | Scientific reports 11 |
Pages or article number: | 2577 |
Publisher: | Macmillan Publishers Limited, part of Springer Nature |
Publisher place: | London |
Issue date: | 2021 |
ISSN: | 2045-2322 |
Publisher URL: | https://doi.org/10.1038/s41598-021-82076-9 |
Publisher DOI: | 10.1038/s41598-021-82076-9 |
Appears in collections: | JGU-Publikationen |
Files in This Item:
File | Description | Size | Format | ||
---|---|---|---|---|---|
eggebrecht_lisa-cost_saving_an-20210922194241777.pdf | 1.29 MB | Adobe PDF | View/Open |