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Cost-effectiveness of an inpatient nurse practitioner in heart failure.

Version 2 2024-05-31, 00:52
Version 1 2023-04-21, 01:50
journal contribution
posted on 2024-05-31, 00:52 authored by Andrea DriscollAndrea Driscoll, Jennifer WattsJennifer Watts, Sharon MeagherSharon Meagher, R Kennedy, R Mar, D Johnson, DL Hare, O Farouque, Lan GaoLan Gao
Abstract Aims Heart failure (HF) nurse practitioners (NPs) are an important part of the HF specialist team, and their impact on the cost-effectiveness of their role is unknown. The aim of this study was to determine the cost-effectiveness of a HF NP inpatient service compared with current practice of no HF NP service from a health system perspective at 12 months and 3 years. Methods and results We developed a Markov model to estimate costs, effects, and cost-effectiveness for hospitalized HF patients and seen by a HF NP service compared with usual care at 12 months and 3 years. Costs and effects were taken from a retrospective observational cohort study. Transition probabilities and utilities were derived from published studies. A total of 500 patients were included (250 patients in the HF NP service vs. 250 patients in usual care). Average age was 77.7 ± 11 years, and 54% were male. At 12 months, the HF NP group was cheaper and more effective compared with no HF NP [$23 031 vs. $25 111 (AUD), respectively; quality-adjusted life years (QALYs) were 0.68 in HF NP group compared with 0.66 in usual care]. The incremental cost-effectiveness ratio showed a savings of $109 474 per QALY gained at 12 months and a savings of $270 667 per QALY gained at 3 years in favour of the HF NP service. Conclusion The HF NP service was cost-effective with lower costs and higher QALYs compared with no HF NP service. Economic evaluations alongside randomized controlled trials are warranted.

History

Journal

European Journal of Cardiovascular Nursing

Pagination

zvad036-

Location

Oxford, Eng.

ISSN

1474-5151

eISSN

1873-1953

Language

eng

Publication classification

C1 Refereed article in a scholarly journal

Publisher

Oxford University Press