A cost-effectiveness analysis of community nurse-led self-care education for heart failure patients

IF 1.6 4区医学 Q2 NURSING Collegian Pub Date : 2024-06-12 DOI:10.1016/j.colegn.2024.05.003

Paolo Iovino , Daniela D’Angelo , Ercole Vellone , Matteo Ruggeri

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Abstract

Background

Community nurses delivering heart failure self-care education improve patient outcomes, but the cost-effectiveness of this type of nurse-led intervention has not been recently established.

Aim

To determine the cost-effectiveness of community nurses’ self-care education for heart failure patients compared with usual care.

Methods

We performed a cost-effectiveness analysis from the perspective of the Italian National Health Service. A Markov model simulated the progression of a cohort of 1000 heart failure patients receiving remote self-care education after hospital discharge or usual care. Outcomes included costs, quality-adjusted life years, and incremental cost-effectiveness ratio. The willingness-to-pay threshold was established at €40,000/quality-adjusted life years.

Findings

Over the 20-year time horizon, community nurses’ care incurred an extra cost of €1.3 million while gaining 247 quality-adjusted life years compared with usual care, and the incremental cost-effectiveness ratio was €5490/quality-adjusted life years.

Conclusions

The involvement of community nurses in self-care education is a potential cost-effective way of delivering home self-care education to heart failure patients.

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以社区护士为主导的心力衰竭患者自我护理教育成本效益分析

背景社区护士提供心力衰竭自我护理教育可改善患者的预后，但这种由护士主导的干预措施的成本效益最近尚未确定。一个马尔可夫模型模拟了 1000 名心衰患者在出院后接受远程自我护理教育或常规护理的过程。结果包括成本、质量调整生命年和增量成本效益比。研究结果在20年的时间跨度内，与常规护理相比，社区护士的护理产生了130万欧元的额外费用，同时获得了247个质量调整生命年，增量成本效益比为5490欧元/质量调整生命年。

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来源期刊

Collegian NURSING-

CiteScore

2.70

自引率

6.70%

发文量

127

审稿时长

72 days

期刊介绍： Collegian: The Australian Journal of Nursing Practice, Scholarship and Research is the official journal of Australian College of Nursing (ACN). The journal aims to reflect the broad interests of nurses and the nursing profession, and to challenge nurses on emerging areas of interest. It publishes research articles and scholarly discussion of nursing practice, policy and professional issues. Papers published in the journal are peer reviewed by a double blind process using reviewers who meet high standards of academic and clinical expertise. Invited papers that contribute to nursing knowledge and debate are published at the discretion of the Editor. The journal, online only from 2016, is available to members of ACN and also by separate subscription. ACN believes that each and every nurse in Australia should have the opportunity to grow their career through quality education, and further our profession through representation. ACN is the voice of influence, providing the nursing expertise and experience required when government and key stakeholders are deciding the future of health.