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Person-Centred Care in Patients with Acute Coronary Syndrome: Cost-Effectiveness Analysis Alongside a Randomised Controlled Trial

Laura Pirhonen (), Kristian Bolin, Elisabeth Hansson Olofsson, Andreas Fors, Inger Ekman, Karl Swedberg and Hanna Gyllensten
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Laura Pirhonen: Sahlgrenska Academy, University of Gothenburg
Kristian Bolin: University of Gothenburg
Elisabeth Hansson Olofsson: Sahlgrenska Academy, University of Gothenburg
Andreas Fors: Sahlgrenska Academy, University of Gothenburg
Inger Ekman: Sahlgrenska Academy, University of Gothenburg
Karl Swedberg: University of Gothenburg
Hanna Gyllensten: Sahlgrenska Academy, University of Gothenburg

PharmacoEconomics - Open, 2019, vol. 3, issue 4, No 7, 495-504

Abstract: Abstract Background Costs associated with an ACS incident are most pronounced in the acute phase but are also considerably long after the initial hospitalisation, partly due to considerable productivity losses, which constitute a substantial part of the economic burden of the disease. Studies suggest that person-centred care may improve health-related quality of life and reduce the costs associated with the disease. Objective The aim of this study was to calculate the cost-effectiveness of a person-centred care intervention compared with usual care in patients with acute coronary syndrome (ACS), in a Swedish setting. Methods Primary data from a randomised controlled trial of a person-centred intervention in patients with ACS was used. The person-centred intervention involved co-creation of a health plan between the patient and healthcare professionals, based on the patient’s narrative. Thereafter, goals for the recovery period were set and followed-up continuously throughout the intervention. The clinical data, collected during the randomised controlled trial, was complemented with data from national health registers and the Swedish Social Insurance Agency. The study was conducted at two hospitals situated in a Swedish municipality. Patients were enrolled between June 2011 and February 2014 (192 patients were included in this study; 89 in the intervention group and 103 in the control group). Incremental cost-effectiveness ratios were calculated separately for the age groups

Date: 2019
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DOI: 10.1007/s41669-019-0126-3

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