Automatic Assessment of Socioeconomic Impact on Cardiac Rehabilitation

Mireia Calvo, Laia Subirats, Luigi Ceccaroni, José María Maroto, Carmen De Pablo and Felip Miralles
Additional contact information
Mireia Calvo: Cardiac Electrophysiology Unit, Hospital Clínic Universitari de Barcelona, Villarroel, 170, Barcelona 08036, Spain
Laia Subirats: Barcelona Digital Technology Centre, Roc Boronat, 117, 5th floor, Barcelona 08018, Spain
Luigi Ceccaroni: Barcelona Digital Technology Centre, Roc Boronat, 117, 5th floor, Barcelona 08018, Spain
José María Maroto: Cardiac Rehabilitation Unit, Hospital Universitario Ramón y Cajal, Madrid 28034, Spain
Carmen De Pablo: Cardiac Rehabilitation Unit, Hospital Universitario Ramón y Cajal, Madrid 28034, Spain
Felip Miralles: Barcelona Digital Technology Centre, Roc Boronat, 117, 5th floor, Barcelona 08018, Spain

IJERPH, 2013, vol. 10, issue 11, 1-18

Abstract: Disability-Adjusted Life Years (DALYs) and Quality-Adjusted Life Years (QALYs), which capture life expectancy and quality of the remaining life-years, are applied in a new method to measure socioeconomic impacts related to health. A 7-step methodology estimating the impact of health interventions based on DALYs, QALYs and functioning changes is presented. It relates the latter (1) to the EQ-5D-5L questionnaire (2) to automatically calculate the health status before and after the intervention (3). This change of status is represented as a change in quality of life when calculating QALYs gained due to the intervention (4). In order to make an economic assessment, QALYs gained are converted to DALYs averted (5). Then, by inferring the cost/DALY from the cost associated to the disability in terms of DALYs lost (6) and taking into account the cost of the action, cost savings due to the intervention are calculated (7) as an objective measure of socioeconomic impact. The methodology is implemented in Java. Cases within the framework of cardiac rehabilitation processes are analyzed and the calculations are based on 200 patients who underwent different cardiac-rehabilitation processes. Results show that these interventions result, on average, in a gain in QALYs of 0.6 and a cost savings of 8,000 €.

Keywords: cost-effectiveness analysis; healthcare policy; disability-adjusted life years; quality-adjusted life years; ICF; cardiac rehabilitation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2013
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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