Effectiveness and Cost of a Personalized Reminder Intervention to Improve Adherence to Glaucoma Care

Laura T. Pizzi (), Judie Tran, Anousheh Shafa, Michael Waisbourd, Lisa Hark, Ann P. Murchison, Yang Dai, Eileen L. Mayro and Julia A. Haller
Additional contact information
Laura T. Pizzi: Thomas Jefferson University
Judie Tran: Wills Eye Hospital Glaucoma Research Center
Anousheh Shafa: Wills Eye Hospital Glaucoma Research Center
Michael Waisbourd: Wills Eye Hospital Glaucoma Research Center
Lisa Hark: Wills Eye Hospital Glaucoma Research Center
Ann P. Murchison: Wills Eye Hospital Glaucoma Research Center
Yang Dai: Wills Eye Hospital Glaucoma Research Center
Eileen L. Mayro: Wills Eye Hospital Glaucoma Research Center
Julia A. Haller: Wills Eye Hospital

Applied Health Economics and Health Policy, 2016, vol. 14, issue 2, No 10, 229-240

Abstract: Abstract Background Glaucoma is the leadi ng cause of irreversible blindness in the USA. Glaucomatous vision loss is preventable with proper eye care, including appointment adherence. Therefore, interventions that improve appointment adherence can reduce the number of patients with more severe glaucoma. Objectives The primary study aim was to determine the efficacy and cost-effectiveness of a multifaceted personal reminder intervention, which included a customized letter and personal telephone outreach, in improving appointment adherence of patients with glaucoma. A secondary study aim was to identify patient characteristics that were associated with non-adherence. Methods This prospective, randomized, controlled study included a cost-effectiveness analysis completed using a decision analytic model. The subjects included 256 patients with glaucoma. Study measures included appointment adherence and incremental cost effectiveness ratios. Results Patients in the intervention group were more likely to adhere to appointments (82.31 vs. 69.05 %; RR 1.23; 95 % CI 1.04–1.37, p

Date: 2016
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DOI: 10.1007/s40258-016-0231-8

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