J Med Syst - Economic impact assessment from the use of a mobile app for the self-management of heart diseases by patients with heart failure in a Spanish region.

Tópicos

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Resumo

Currently, cardiovascular diseases are the deadliest diseases with a total of 17 million deaths worldwide. Hence, they are the focus of many mobile applications for smartphones and tablets. This paper will assess the ex-ante economic impact as well as will determine the cost-effectiveness analysis that the use of one of this app, CardioManager, by patients with heart failure will have in a Spanish community, Castile and Leon. For this, a cost-effectiveness analysis using the hidden Markov model were performed in a hypothetical cohort of patients diagnosed with heart failure, based on the information of epidemiological parameters and the costs derived from the management and care of heart failure patients by the Public Health Care System of Castile and Leon. The costs of patient care were estimated from the perspective of the Ministry of Health of Spain using a discount rate of 3 %. Finally, an estimation of the ex-ante impact that would suppose the introduction of CardioManager in the Health Care System is performed. It is concluded that the introduction of CardioManager may generate a 33 % reduction in the cost of management and treatment of the disease. This means that CardioManager may be able to save more than 9,000 ? per patient to the local Health Care System of Castile and Leon, which can be translated in a saving of 0.31 % of the total health expenditure of the region.

Resumo Limpo

current cardiovascular diseas deadliest diseas total million death worldwid henc focus mani mobil applic smartphon tablet paper will assess exant econom impact well will determin costeffect analysi use one app cardiomanag patient heart failur will spanish communiti castil leon costeffect analysi use hidden markov model perform hypothet cohort patient diagnos heart failur base inform epidemiolog paramet cost deriv manag care heart failur patient public health care system castil leon cost patient care estim perspect ministri health spain use discount rate final estim exant impact suppos introduct cardiomanag health care system perform conclud introduct cardiomanag may generat reduct cost manag treatment diseas mean cardiomanag may abl save per patient local health care system castil leon can translat save total health expenditur region

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