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Retrospective incremental cost analysis of a hospital-based COPD Disease Management Programme in Sweden

Tunsäter, Alf LU ; Moutakis, Mikael ; Borg, Sixten LU ; Persson, Ulf ; Strömberg, Leif and Nielsen, Anders Lassen (2007) In Health Policy 81(2-3). p.309-319
Abstract

This paper reports on a retrospective analysis of hospital-based healthcare costs associated with the management of chronic obstructive pulmonary disease (COPD). During the second half of 2001, Simrishamn Hospital, Sweden, implemented a structured Disease Management Programme (DMP) for COPD and a total of 784 patients with COPD, enrolled in the DMP, were included in the analysis. The goal was to reduce the number of clinical events, such as severe exacerbations by early intervention, aggressive drug treatment, specialists easy available for advice, improved support for smoking cessation, increased number of scheduled follow-ups and closer tracking of high-risk COPD patients. The hospital administrative system provided data on resource... (More)

This paper reports on a retrospective analysis of hospital-based healthcare costs associated with the management of chronic obstructive pulmonary disease (COPD). During the second half of 2001, Simrishamn Hospital, Sweden, implemented a structured Disease Management Programme (DMP) for COPD and a total of 784 patients with COPD, enrolled in the DMP, were included in the analysis. The goal was to reduce the number of clinical events, such as severe exacerbations by early intervention, aggressive drug treatment, specialists easy available for advice, improved support for smoking cessation, increased number of scheduled follow-ups and closer tracking of high-risk COPD patients. The hospital administrative system provided data on resource consumption, such as outpatient care, inpatient care and drugs and unit cost, used in the economic analysis. The total cost of COPD drugs doubled (from €14,133 to €30,855 per year) as did the total number of outpatient visits (from 580 to 996 visits per year). The number of hospitalizations for acute COPD exacerbations and COPD with acute lower respiratory infection decreased from 67 to 25 per year. Total COPD-related healthcare costs decreased. The results presented here support the hypothesis that a COPD DMP can offer substantial overall direct cost savings.

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author
; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
keywords
Ambulatory care, Chronic obstructive pulmonary disease, COPD, Cost, Disease Management Programme, Early intervention, Medication costs, Retrospective, Sweden
in
Health Policy
volume
81
issue
2-3
pages
11 pages
publisher
Elsevier
external identifiers
  • pmid:16904788
  • scopus:33947233710
ISSN
0168-8510
DOI
10.1016/j.healthpol.2006.05.013
language
English
LU publication?
no
id
bd1ed258-f59d-47ba-a159-39ccab95f626
date added to LUP
2018-10-20 11:30:00
date last changed
2020-01-13 01:05:03
@article{bd1ed258-f59d-47ba-a159-39ccab95f626,
  abstract     = {<p>This paper reports on a retrospective analysis of hospital-based healthcare costs associated with the management of chronic obstructive pulmonary disease (COPD). During the second half of 2001, Simrishamn Hospital, Sweden, implemented a structured Disease Management Programme (DMP) for COPD and a total of 784 patients with COPD, enrolled in the DMP, were included in the analysis. The goal was to reduce the number of clinical events, such as severe exacerbations by early intervention, aggressive drug treatment, specialists easy available for advice, improved support for smoking cessation, increased number of scheduled follow-ups and closer tracking of high-risk COPD patients. The hospital administrative system provided data on resource consumption, such as outpatient care, inpatient care and drugs and unit cost, used in the economic analysis. The total cost of COPD drugs doubled (from €14,133 to €30,855 per year) as did the total number of outpatient visits (from 580 to 996 visits per year). The number of hospitalizations for acute COPD exacerbations and COPD with acute lower respiratory infection decreased from 67 to 25 per year. Total COPD-related healthcare costs decreased. The results presented here support the hypothesis that a COPD DMP can offer substantial overall direct cost savings.</p>},
  author       = {Tunsäter, Alf and Moutakis, Mikael and Borg, Sixten and Persson, Ulf and Strömberg, Leif and Nielsen, Anders Lassen},
  issn         = {0168-8510},
  language     = {eng},
  month        = {05},
  number       = {2-3},
  pages        = {309--319},
  publisher    = {Elsevier},
  series       = {Health Policy},
  title        = {Retrospective incremental cost analysis of a hospital-based COPD Disease Management Programme in Sweden},
  url          = {http://dx.doi.org/10.1016/j.healthpol.2006.05.013},
  doi          = {10.1016/j.healthpol.2006.05.013},
  volume       = {81},
  year         = {2007},
}