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Kaier, Klaus [Verfasser:in]; Hils, Silvia [Verfasser:in]; Fetzer, Stefan [Verfasser:in]; Hehn, Philip [Verfasser:in]; Schmid, Anja [Verfasser:in]; Hauschke, Dieter [Verfasser:in]; Bogatyreva, Lioudmila [Verfasser:in]; Jänigen, Bernd [Verfasser:in]; Pisarski, Przemyslaw [Verfasser:in]

Results of a randomized controlled trial analyzing telemedically supported case management in the first year after living donor kidney transplantation: A budget impact analysis from the healthcare perspective

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  • Medientyp: E-Artikel
  • Titel: Results of a randomized controlled trial analyzing telemedically supported case management in the first year after living donor kidney transplantation: A budget impact analysis from the healthcare perspective
  • Beteiligte: Kaier, Klaus [Verfasser:in]; Hils, Silvia [Verfasser:in]; Fetzer, Stefan [Verfasser:in]; Hehn, Philip [Verfasser:in]; Schmid, Anja [Verfasser:in]; Hauschke, Dieter [Verfasser:in]; Bogatyreva, Lioudmila [Verfasser:in]; Jänigen, Bernd [Verfasser:in]; Pisarski, Przemyslaw [Verfasser:in]
  • Erschienen: Heidelberg: Springer, 2017
  • Sprache: Englisch
  • DOI: https://doi.org/10.1186/s13561-016-0141-3
  • ISSN: 2191-1991
  • Schlagwörter: Telemedicine ; Cost-of-illness ; Cost-benefit
  • Entstehung:
  • Anmerkungen: Diese Datenquelle enthält auch Bestandsnachweise, die nicht zu einem Volltext führen.
  • Beschreibung: We analyze one-year costs and savings of a telemedically supported case management program after kidney transplantation from the perspective of the German Healthcare System. Recipients of living donor kidney transplantation (N = 46) were randomly allocated to either (1) standard aftercare or (2) standard aftercare plus additional telemedically supported case management. A range of cost figures of each patient's medical service utilization were calculated at month 3, 6 and 12 and analyzed using two-part regression models. In comparison to standard aftercare, patients receiving telemedically supported case management are associated with substantial lower costs related to unscheduled hospitalizations (mean difference: €3,417.46 per patient for the entire one-year period, p = 0.003). Taking all cost figures into account, patients receiving standard aftercare are associated, on average, with one-year medical service utilization costs of €10,449.28, while patients receiving telemedically supported case management are associated with €5,504.21 of costs (mean difference: € 4,945.07 per patient, p < 0.001). With estimated expenditures of €3,001.5 for telemedically supported case management of a single patient, we determined a mean difference of €1,943.57, but this result is not statistically significant (p = 0.128). Sensitivity analyses show that the program becomes cost-neutral at around ten participating patients, and was beneficial starting at 15 patients. Routine implementation of telemedically supported case management in German medium and high-volume transplant centers would result in annual cost savings of €791,033 for the German healthcare system. Patients with telemedically supported case management showed a lower utilization of medical services as well as better medical outcomes. Therefore, such programs should be implemented in medium and high-volume transplant centers.
  • Zugangsstatus: Freier Zugang
  • Rechte-/Nutzungshinweise: Namensnennung (CC BY)