Please use this identifier to cite or link to this item:
http://hdl.handle.net/1942/28305
Title: | Economic and social impact of increased cardiac rehabilitation uptake and cardiac telerehabilitation in Belgium - a cost-benefit analysis. | Authors: | FREDERIX, Ines VANDIJCK, Dominique HENS, Niel De Sutter, Johan DENDALE, Paul |
Issue Date: | 2018 | Publisher: | TAYLOR & FRANCIS LTD | Source: | ACTA CARDIOLOGICA, 73(3), p. 222-229 | Abstract: | Background: Cardiac rehabilitation for ischaemic heart disease effectively reduces cardiovascular readmission rate and mortality. Current uptake rates however, remain low. This study assesses the social and economic impact of increasing centre-based cardiac rehabilitation uptake and the additional value of cardiac telerehabilitation using cost–benefit analysis (CBA) in Belgium. Methods: Cost–benefit analysis was conducted to analyse three scenarios: (1) current situation: 20% uptake rate of cardiac rehabilitation; (2) alternative scenario one: 40% uptake rate of cardiac rehabilitation; and (3) alternative scenario two: 20% uptake of cardiac rehabilitation and 20% uptake of both cardiac rehabilitation and telerehabilitation. Impacts considered included cardiac (tele)rehabilitation programme costs, direct inpatient costs, productivity losses and burden of disease. Results: Compared to the current situation, there was a net total monetised benefit of 9.18 M€ and 9.10 M€ for scenarios one and two, respectively. Disability Adjusted Life Years were 12,805–12,980 years lower than the current situation. This resulted in a benefit–cost ratio of 1.52 and 1.43 for scenarios one and two, respectively. Conclusions: Increased cardiac rehabilitation uptake rates can reduce the burden of disease, and the resulting benefits exceed its costs. This research supports the necessity for greater promotion and routine referral to cardiac rehabilitation to be made standard practice. The implementation of telerehabilitation as an adjunct is to be encouraged, especially for those patients unable to attend centre-based cardiac rehabilitation. | Notes: | The authors would like to thank Steven Walscharts for his assistance in data analysis and interpretation. | Keywords: | Cost-benefit analysis;cardiac rehabilitation;costs;telerehabilitation | Document URI: | http://hdl.handle.net/1942/28305 | Link to publication/dataset: | Epub 2017 Aug 11. PubMed PMID: 28799460. | ISSN: | 0001-5385 | e-ISSN: | 1784-973X | DOI: | 10.1080/00015385.2017.1361892 | ISI #: | 000435000800002 | Rights: | 2017 Belgian Society of Cardiology | Category: | A1 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
frederix2017.pdf Restricted Access | Early view | 1.35 MB | Adobe PDF | View/Open Request a copy |
SCOPUSTM
Citations
6
checked on Sep 3, 2020
WEB OF SCIENCETM
Citations
20
checked on Oct 14, 2024
Page view(s)
112
checked on Sep 5, 2022
Download(s)
104
checked on Sep 5, 2022
Google ScholarTM
Check
Altmetric
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.