An Economic Evaluation of a Self-Care Intervention in Persons With Heart Failure and Diabetes

摘要: Abstract Background Persons with concomitant heart failure (HF) and diabetes mellitus constitute a growing population whose quality of life is encumbered worse clinical outcomes as well high health resource use (HRU) costs. Methods Results Extensive data on HRU costs were collected part prospective cost-effectiveness analysis self-care intervention to improve in persons both HF diabetes. assigned from Medicare reimbursement perspective. Patients (n = 134) randomized the those receiving usual care/attention control followed for 6 months, revealing significant differences number hospitalization days associated between groups. The mean inpatient was 3 bootstrapped bias-corrected (BCa) confidence intervals (CIs) 1.8–4.4 d group 7.3 (BCa CI 4.1–10.9 d) group: P  = .044. Total direct per participant an estimated $9,065 $6,496–$11,936) $16,712 8,200–$26,621) group, difference −$7,647 −$17,588 $809; .21) favor intervention, including be $130.67 patient. Conclusions demonstrated dominance lowering without sacrificing quality-adjusted life-years.