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Economics of Team-based Care for Blood Pressure Control: Updated Community Guide Systematic Review
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10 2023
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Source: Am J Prev Med. 65(4):735-754
[PDF-641.70 KB]
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Alternative Title:Am J Prev Med
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Description:Introduction:
This paper examined the recent evidence from economic evaluations of team-based care for controlling high blood pressure.
Methods:
The search covered studies published from January 2011 through January 2021 and was limited to those based in the United States (U.S.) and other high-income countries. This yielded 35 studies, 23 based in the U.S. and 12 in other high-income countries. Analyses were conducted during May 2021 through February 2023. All monetary values reported are in 2020 U.S. dollars.
Results:
The median intervention cost per patient per year was $438 for U.S. studies and $299 for all studies. The median change in healthcare cost per patient per year following the intervention was −$140 for both U.S. studies and for all studies. The median net cost per patient per year was $439 for U.S. studies and $133 for all studies. Median cost per quality adjusted life year gained was $12,897 for U.S. studies and $15,202 for all studies, which are below a conservative benchmark of $50,000 for cost-effectiveness.
Discussion:
Intervention cost and net cost were higher in the U.S. compared to other high- income countries. Healthcare cost averted did not exceed intervention cost in most studies. The evidence shows team-based care for blood pressure control is cost-effective, re-affirming the favorable cost-effectiveness conclusion reached in the 2015 systematic review.
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Pubmed ID:37121447
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Pubmed Central ID:PMC10527860
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Volume:65
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Issue:4
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