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Titolo:
Patient costs in anticoagulation management: a comparison of primary and secondary care
Autore:
Parry, D; Bryan, S; Gee, K; Murray, E; Fitzmaurice, D;
Indirizzi:
Univ Birmingham, Hlth Serv Management Ctr, Hlth Econ Facil, Birmingham B152RT, W Midlands, England Univ Birmingham Birmingham W Midlands England B152RT W Midlands, England Univ Birmingham, Dept Gen Practice & Primary Care, Birmingham B15 2RT, W Midlands, England Univ Birmingham Birmingham W Midlands England B15 2RT W Midlands, England
Titolo Testata:
BRITISH JOURNAL OF GENERAL PRACTICE
fascicolo: 473, volume: 51, anno: 2001,
pagine: 972 - 976
SICI:
0960-1643(200112)51:473<972:PCIAMA>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
COMPUTERIZED DECISION-SUPPORT; ATRIAL-FIBRILLATION; TRIAL;
Keywords:
cost-effectiveness analysis; anticoagulation; warfarin; primary care; secondary care;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Bryan, S Univ Birmingham, Hlth Serv Management Ctr, Hlth Econ Facil, Pk House,Edgbaston Pk Rd, Birmingham B15 2RT, W Midlands, England Univ Birmingham Pk House,Edgbaston Pk Rd Birmingham W Midlands England B15 2RT
Citazione:
D. Parry et al., "Patient costs in anticoagulation management: a comparison of primary and secondary care", BR J GEN PR, 51(473), 2001, pp. 972-976

Abstract

Background: The demand for anticoagulation management is increasing, This has led to care being provided in non-hospital settings. While clinical studies have similarly demonstrated good clinical care in these settings, it is still unclear as to which alternative is the most efficient,Aim: To determine the costs borne by patients when attending an anticoagulation management clinic in either primary or secondary care and to use thisin,formation to consider the cost-effectiveness of anticoagulation management in primary and secondary, care, both from the National Health Service and patient perspectives. Design of study, Observational study comparing two cohorts of patients currently attending anticoagulation management clinics,Setting: Four primary care clinics in Birmingham and one in Warwickshire, and the haematology clinics at the University of Birmingham Hospitals Trustand the City Hospital NHS Trust. Method: The survey of patients attending the clinics was used to ascertainpatient costs. This information was then used in conjunction with the findings of a recent randomised controlled trial to establish cost-effectiveness. Results: Patient costs were lower in primary care than in secondary care settings.. the mean (standard deviation) costs per visit were pound6.78 (pound5.04) versus pound 14.58 (pound9.08). While a previous cost-effectivenessanalysis from a health sector perspective alone found a higher cost for primary care, the adoption of the societal perspective lead to a marked change in the result., a similar total cost per patient in both sectors. Conclusion: There are significantly higher costs borne by patients attending secondary care anticoagulation management clinics than similar patients attending primary care clinics This study also demonstrates that the perspective adopted in an economic evaluation can in,fluence the final result.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/01/21 alle ore 02:55:17