Nurse-Led Telephone Program for Nonadherent to Treatment Type 2 Diabetics With Comorbid Depression: A Cost-Consequence and Budget Impact Analysis

IF 3.7 2区医学 Q2 MANAGEMENT

Journal of Nursing Management Pub Date : 2024-11-19 DOI:10.1155/2024/9989080

Manuel Gómez-Barrera, María Luisa Lozano-Del Hoyo, Juan Francisco Roy, María Teresa Fernández-Rodrigo, Piedad Gómez-Torres, Isabel Blázquez-Ornat, Sofía Pérez-Calahorra, Maria Esther Samaniego Diaz de Corcuera, Emilia Ferrer-López, Enrique Ramón-Arbués

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引用次数: 0

Abstract

Objective: To estimate the efficiency of a nurse-led telephone program for nonadherent to treatment Type 2 diabetics with comorbid depression (TELE-DD program).

Design: Secondary analysis of cost-consequence and budget impact, utilizing data from a randomized clinical trial conducted in the primary healthcare setting. The target population consisted of Type 2 diabetic patients with comorbid depression who were nonadherent to their pharmacological treatment.

Method: The average cost per controlled patient (glycated hemoglobin < 7%) and the incremental cost-effectiveness ratio were calculated. Similarly, the budgetary impact over 1 year of implementing this program in the region of reference of the randomized clinical trial was assessed.

Results: The number of controlled patients is higher in the TELE-DD group at 6, 12, and 18 months. The average cost per controlled patient was higher in the TELE-DD group than in the control group at 6 months (€160.31 vs. €49.79), but lower at 12 (€150.09 vs. €179.59) and 18 months (€209.22 vs. €376.88). The incremental cost-effectiveness ratio at 6, 12, and 18 months was €254.47, €143.65, and €177.46, respectively. The budget impact analysis revealed that implementing the TELE-DD program would result in a reduction of €721,940.68 in expenditure for the funder in the first year of application.

Conclusions: A nurse-led telephone program for nonadherent Type 2 diabetics with comorbid depression is an efficient option in the management of healthcare resources. These results highlight the role of nursing in chronic patient management and the efficient use of healthcare resources.

Trial Registration: ClinicalTrials.gov Identifier: NCT04097483.

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针对不坚持治疗并伴有抑郁症的 2 型糖尿病患者的护士电话计划：成本后果和预算影响分析

目的评估针对不坚持治疗且合并有抑郁症的 2 型糖尿病患者的护士主导型电话项目（TELE-DD 项目）的效率。设计：利用在基层医疗机构开展的随机临床试验数据，对成本后果和预算影响进行二次分析。目标人群包括合并抑郁症且不坚持药物治疗的 2 型糖尿病患者。研究方法计算每位受控患者的平均成本（糖化血红蛋白< 7%）和增量成本效益比。同样，还评估了在随机临床试验参考地区实施该计划一年的预算影响。结果显示在 6 个月、12 个月和 18 个月时，TELE-DD 组的受控患者人数更多。在 6 个月时，TELE-DD 组每位受控患者的平均成本高于对照组（160.31 欧元对 49.79 欧元），但在 12 个月（150.09 欧元对 179.59 欧元）和 18 个月时则低于对照组（209.22 欧元对 376.88 欧元）。6 个月、12 个月和 18 个月的增量成本效益比分别为 254.47 欧元、143.65 欧元和 177.46 欧元。预算影响分析显示，实施 TELE-DD 计划后，资助方第一年的支出将减少 721,940.68 欧元。结论：以护士为主导的电话项目可有效管理医疗资源，适用于不坚持治疗且合并抑郁症的 2 型糖尿病患者。这些结果凸显了护理在慢性病患者管理和有效利用医疗资源方面的作用。试验注册：ClinicalTrials.gov Identifier：NCT04097483。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Nursing Management NURSING-

CiteScore

9.40

自引率

14.50%

发文量

377

审稿时长

4-8 weeks

期刊介绍： The Journal of Nursing Management is an international forum which informs and advances the discipline of nursing management and leadership. The Journal encourages scholarly debate and critical analysis resulting in a rich source of evidence which underpins and illuminates the practice of management, innovation and leadership in nursing and health care. It publishes current issues and developments in practice in the form of research papers, in-depth commentaries and analyses. The complex and rapidly changing nature of global health care is constantly generating new challenges and questions. The Journal of Nursing Management welcomes papers from researchers, academics, practitioners, managers, and policy makers from a range of countries and backgrounds which examine these issues and contribute to the body of knowledge in international nursing management and leadership worldwide. The Journal of Nursing Management aims to: -Inform practitioners and researchers in nursing management and leadership -Explore and debate current issues in nursing management and leadership -Assess the evidence for current practice -Develop best practice in nursing management and leadership -Examine the impact of policy developments -Address issues in governance, quality and safety