Result card

  • ECO2: What amounts of resources are used when delivering Structured telephone support (STS) for adult patients with chronic heart failure and its comparator, 'usual care' without STS (resource-use measurement)?
English

What amounts of resources are used when delivering Structured telephone support (STS) for adult patients with chronic heart failure and its comparator, 'usual care' without STS (resource-use measurement)?

Authors: Neill Booth, Taru Haula and Heidi Stuerzlinger (supported by Ingrid Rosian-Schikuta).

Internal reviewers: Matthias Schwenkglenks, Nadine Berndt and Fabio Trimaglio

Acknowledgments: We would like to thank information specialist Jaana Isojärvi (THL, Finland) for development of systematic literature search strategies for the ECO domain, and for performing those searches in the available databases. We would also like to acknowledge her generous contribution in helping to construct a Refworks database and in sourcing numerous published articles for review.

For this section we used results from the domain search (including domain searches from EFF and ORG; search strategy and selection criteria are described in the general methodology description) as well as results from an additional hand search, e.g. within study references. Also results from the TEC domain regarding description of the interventions were used

Different approaches have been used for the quantification of resource consumption. Miller et al. (2009) generally followed a micro-costing approach as they used data from a clinical trial. They give resource expenditures in U.S. Dollars but do not provide detailed data on resource consumption in units. Klersy et al. (2011) only regard the (average) number of HF hospitalizations per patient per year (calculated using a meta-analytical approach) {1}. Pandor et al. (2013) rely on different sources for their cost effectiveness analysis and include data from a randomized trial for the frequency of medical care visits {4}. For resource consumption related to the interventions themselves a bottom-up approach is used relying on advice from clinical experts as well as literature {11}. Long term costs are determined in reference to NICE clinical guidelines.

The following table lists resource items for intervention and comparator as well as long-term costs included in Pandor et al. (2013) together with quantification per 6 months of treatment as given within the study.

Table 3: Resource consumption for STS and usual care: quantification of resources

Resources

Unit

Amounts and ranges in Pandor et al. 2013 {4}  (per six months of treatment)

Structured telephone support (human to human)

  

low

high

average

AT THE PATIENT'S HOME

 

 

 

 

Telephone

device

0.50

0.50

0.50

Blood pressure measurement device

device

0

0.50

0.114*

2 channel ECG

device

0

0.50

0.114*

IN THE SUPPORT CENTRE

 

 

 

 

Employed nurse (telephone calls, triage, decision making)

hour

16.00

16.00

16.00

Data management software

site licence

0.00067**

0.00067**

0.00067**

OTHER HEALTH CARE RESOURCES

 

 

 

 

Family practitioner

office visits

3.37

3.37

3.37

 

home visits

1.04

1.04

1.04

Specialist

office visits

0.66

0.66

0.66

 

home visits

0.02

0.02

0.02

Nurse and other

office visits

0.58

0.58

0.58

 

home visits

1.15

1.15

1.15

Emergency room

emergency room visits

0.30

0.30

0.30

Usual care

 

 

OTHER HEALTH CARE RESOURCES

 

 

 

 

Family practitioner

office visits

1.33

1.33

1.33

 

home visits

0.47

0.47

0.47

Specialist

office visits

0.38

0.38

0.38

 

home visits

none

none

none

Nurse and other

office visits

0.40

0.40

0.40

 

home visits

0.30

0.30

0.30

Emergency room

emergency room visits

0.09

0.09

0.09

post treatment  / long term costs

 

 

OTHER HEALTH CARE RESOURCES

 

 

 

 

Family practitioner / Specialist

office visits

1

1

1

 laboratory tests

Set of tests

1

1

1

* Pandor et al. give yearly costs and include this only in a high cost scenario and obviously partly in the baseline scenario ** 3-year depreciation, centre has a monitoring capacity of 250 patients

Critical
Partially
Booth N, . T Result Card ECO2 In: Booth N, . T Costs and economic evaluation In: Jefferson T, Cerbo M, Vicari N [eds.]. Structured telephone support (STS) for adult patients with chronic heart failure [Core HTA], Agenas - Agenzia nazionale per i servizi sanitari regionali ; 2015. [cited 16 June 2021]. Available from: http://corehta.info/ViewCover.aspx?id=305

References