Economic impact of integrated care models for patients with chronic diseases: A systematic review
Desmedt,Melissa Vertriest,Sonja Hellings,Johan Bergs,Jochen Dessers,Ezra Vankrunkelsven,Patrik Vrijhoef,H.J.M. Annemans,Lieven Verhaeghe,Nick Petrovic,Mirko
Desmedt,Melissa
Vertriest,Sonja
Hellings,Johan
Bergs,Jochen
Dessers,Ezra
Vankrunkelsven,Patrik
Vrijhoef,H.J.M.
Annemans,Lieven
Verhaeghe,Nick
Petrovic,Mirko
Abstract
Objectives To assess the costs and potential financial benefits of integrated care models for patients with chronic diseases, that is, type 2 diabetes mellitus, schizophrenia, and multiple sclerosis, respectively. Methods A systematic search of the literature was performed using EMBASE, MEDLINE, and Web of Science. Studies that conducted a cost analysis, considered at least two components of the chronic care model, and compared integrated care with standard care were included. Results Out of 575 articles, 26 were included. Most studies examined integrated care models for type 2 diabetes mellitus (n = 18) and to a lesser extent for schizophrenia (n = 6) and multiple sclerosis (n = 2). Across the three disease groups, the incremental cost per patient per year ranged from − €3860 to + €613.91 ( = − €533.61 ± €902.96). The incremental cost for type 2 diabetes mellitus ranged from − €1507.49 to + €299.20 ( = − €518.22 ± + €604.75), for schizophrenia from − €3860 to + €613.91 ( = − €677.21 ± + €1624.35), and for multiple sclerosis from − €822 to + €339.43 (= − €241.29 ± + €821.26). Most of the studies (22 of 26 [84.6%]) reported a positive economic impact of integrated care models: for type 2 diabetes mellitus (16 of 18 [88.9%]), schizophrenia (4 of 6 [66.7%]), and multiple sclerosis (1 of 2 [50%]). Conclusions In this systematic literature review, predominantly positive economic impacts of integrated care models for patients with chronic diseases were found. Keywords: chronic disease, cost analysis, integrated care, multiple sclerosis, schizophrenia, type 2 diabetes mellitus
Description
Date
2016-09-01
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Volume Title
Publisher
Research Projects
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Keywords
SDG 3 - Good Health and Well-being
Citation
Desmedt, M, Vertriest, S, Hellings, J, Bergs, J, Dessers, E, Vankrunkelsven, P, Vrijhoef, H J M, Annemans, L, Verhaeghe, N, Petrovic, M & Vandijck, D 2016, 'Economic impact of integrated care models for patients with chronic diseases : A systematic review', Value in Health, vol. 19, no. 6, pp. 892-902. https://doi.org/10.1016/j.jval.2016.05.001