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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2013
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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 €. |
format | Online Article Text |
id | pubmed-3863845 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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