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Cost–utility analysis of a palliative care program in Colombia.
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- Author(s): Rodríguez-Campos, Luisa; Andres Rodriguez-Lesmes, Paul; Palomino Cancino, Analhi; del Valle Díaz, Iris; Fernando Gamboa, Luis; Castillo Niuman, Andrea; Sebastián Salas, Juan; Sarmiento, Gabriela; Martínez-Bernal, Jorge; González-Vélez, Abel E.
- Source:
BMC Palliative Care; 7/6/2024, Vol. 23 Issue 1, p1-10, 10p- Subject Terms:
CROSS-sectional method; PALLIATIVE treatment; RESEARCH funding; DEATH; COST effectiveness; EVALUATION of human services programs; QUESTIONNAIRES; MEDICAL care; COST benefit analysis; RETROSPECTIVE studies; RESEARCH; QUALITY of life; MATHEMATICAL models; TERMINALLY ill; THEORY; INSURANCE companies; MEDICAL care costs; EMPLOYER-sponsored health insurance - Source:
- Additional Information
- Subject Terms:
- Abstract: Background: The economic assessment of health care models in palliative care promotes their global development. The purpose of the study is to assess the cost-effectiveness of a palliative care program (named Contigo) with that of conventional care from the perspective of a health benefit plan administrator company, Sanitas, in Colombia. Methods: The incremental cost-utility ratio (ICUR) and the incremental net monetary benefit (INMB) were estimated using micro-costing in a retrospective, analytical cross-sectional study on the care of terminally ill patients enrolled in a palliative care program. A 6-month time horizon prior to death was used. The EQ-5D-3 L questionnaire (EQ-5D-3 L) and the McGill Quality of Life Questionnaire (MQOL) were used to measure the quality of life. Results: The study included 43 patients managed within the program and 16 patients who received conventional medical management. The program was less expensive than the conventional practice (difference of 1,924.35 US dollars (USD), P = 0.18). When compared to the last 15 days, there is a higher perception of quality of life, which yielded 0.25 in the EQ-5D-3 L (p < 0.01) and 1.55 in the MQOL (P < 0.01). The ICUR was negative and the INMB was positive. Conclusion: Because the Contigo program reduces costs while improving quality of life, it is considered to be net cost-saving and a model with value in health care. Greater availability of palliative care programs, such as Contigo, in Colombia can help reduce existing gaps in access to universal palliative care health coverage, resulting in more cost-effective care. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of BMC Palliative Care is the property of BioMed Central and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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