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Automatic Assessment of Socioeconomic Impact on Cardiac Rehabilitation

Disability-Adjusted Life Years (DALYs) and Quality-Adjusted Life Years (QALYs), which capture life expectancy and quality of the remaining life-years, are applied in a new method to measure socioeconomic impacts related to health. A 7-step methodology estimating the impact of health interventions ba...

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Detalles Bibliográficos
Autores principales: Calvo, Mireia, Subirats, Laia, Ceccaroni, Luigi, Maroto, José María, de Pablo, Carmen, Miralles, Felip
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3863845/
https://www.ncbi.nlm.nih.gov/pubmed/24284349
http://dx.doi.org/10.3390/ijerph10115266
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author Calvo, Mireia
Subirats, Laia
Ceccaroni, Luigi
Maroto, José María
de Pablo, Carmen
Miralles, Felip
author_facet Calvo, Mireia
Subirats, Laia
Ceccaroni, Luigi
Maroto, José María
de Pablo, Carmen
Miralles, Felip
author_sort Calvo, Mireia
collection PubMed
description Disability-Adjusted Life Years (DALYs) and Quality-Adjusted Life Years (QALYs), which capture life expectancy and quality of the remaining life-years, are applied in a new method to measure socioeconomic impacts related to health. A 7-step methodology estimating the impact of health interventions based on DALYs, QALYs and functioning changes is presented. It relates the latter (1) to the EQ-5D-5L questionnaire (2) to automatically calculate the health status before and after the intervention (3). This change of status is represented as a change in quality of life when calculating QALYs gained due to the intervention (4). In order to make an economic assessment, QALYs gained are converted to DALYs averted (5). Then, by inferring the cost/DALY from the cost associated to the disability in terms of DALYs lost (6) and taking into account the cost of the action, cost savings due to the intervention are calculated (7) as an objective measure of socioeconomic impact. The methodology is implemented in Java. Cases within the framework of cardiac rehabilitation processes are analyzed and the calculations are based on 200 patients who underwent different cardiac-rehabilitation processes. Results show that these interventions result, on average, in a gain in QALYs of 0.6 and a cost savings of 8,000 €.
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spelling pubmed-38638452013-12-16 Automatic Assessment of Socioeconomic Impact on Cardiac Rehabilitation Calvo, Mireia Subirats, Laia Ceccaroni, Luigi Maroto, José María de Pablo, Carmen Miralles, Felip Int J Environ Res Public Health Article Disability-Adjusted Life Years (DALYs) and Quality-Adjusted Life Years (QALYs), which capture life expectancy and quality of the remaining life-years, are applied in a new method to measure socioeconomic impacts related to health. A 7-step methodology estimating the impact of health interventions based on DALYs, QALYs and functioning changes is presented. It relates the latter (1) to the EQ-5D-5L questionnaire (2) to automatically calculate the health status before and after the intervention (3). This change of status is represented as a change in quality of life when calculating QALYs gained due to the intervention (4). In order to make an economic assessment, QALYs gained are converted to DALYs averted (5). Then, by inferring the cost/DALY from the cost associated to the disability in terms of DALYs lost (6) and taking into account the cost of the action, cost savings due to the intervention are calculated (7) as an objective measure of socioeconomic impact. The methodology is implemented in Java. Cases within the framework of cardiac rehabilitation processes are analyzed and the calculations are based on 200 patients who underwent different cardiac-rehabilitation processes. Results show that these interventions result, on average, in a gain in QALYs of 0.6 and a cost savings of 8,000 €. MDPI 2013-10-25 2013-11 /pmc/articles/PMC3863845/ /pubmed/24284349 http://dx.doi.org/10.3390/ijerph10115266 Text en © 2013 by the authors; licensee MDPI, Basel, Switzerland. http://creativecommons.org/licenses/by/3.0/ This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/3.0/).
spellingShingle Article
Calvo, Mireia
Subirats, Laia
Ceccaroni, Luigi
Maroto, José María
de Pablo, Carmen
Miralles, Felip
Automatic Assessment of Socioeconomic Impact on Cardiac Rehabilitation
title Automatic Assessment of Socioeconomic Impact on Cardiac Rehabilitation
title_full Automatic Assessment of Socioeconomic Impact on Cardiac Rehabilitation
title_fullStr Automatic Assessment of Socioeconomic Impact on Cardiac Rehabilitation
title_full_unstemmed Automatic Assessment of Socioeconomic Impact on Cardiac Rehabilitation
title_short Automatic Assessment of Socioeconomic Impact on Cardiac Rehabilitation
title_sort automatic assessment of socioeconomic impact on cardiac rehabilitation
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3863845/
https://www.ncbi.nlm.nih.gov/pubmed/24284349
http://dx.doi.org/10.3390/ijerph10115266
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