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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/22041

Title: Economic Impact of Integrated Care Models for Patients with Chronic Diseases: A Systematic review
Authors: Desmedt, Melissa
Vertriest, Sonja
Hellings, Johan
Bergs, Jochen
Dessers, Ezra
Vankrunkelsven, Patrik
Vrijhoef, Hubertus
Annemans, Lieven
Verhaeghe, Nick
Petrovic, Mirko
Vandijck, Dominique
Issue Date: 2016
Citation: VALUE IN HEALTH, 19 (6), p. 892-902
Status: In Press
Abstract: Objective. The present study aimed to assess the costs and potential financial benefit of integrated care models for patients with chronic diseases, i.e. type 2 diabetes mellitus, schizophrenia, or multiple sclerosis respectively. Methods. A systematic search of the literature was performed using Embase, Medline, and Web of Science. Studies which conducted a cost analysis, considered at least two components of the Chronic Care Model, and compared integrated care versus standard care, were included. Results. Out of 575 articles, 26 were included. Most studies examined integrated care models for patients with type 2 diabetes mellitus (n=18) and to a lesser extent for patients with schizophrenia (n=6) or multiple sclerosis (n=2). Across the three disease groups, the incremental cost per patient per year ranged from – €3,860 to €614 ( = – €533.61, SD = €902.96 ). The incremental cost for type 2 diabetes mellitus ranged from – €1,507.49 to €299.20 ( = – €518.22, SD = €604.75), for schizophrenia from – €3,860 to €613.91 ( = – €677.21, SD = €1,624.35), and for multiple sclerosis from – €822 to €339.43 ( = – €241.29, SD = €821.26). The vast majority of studies (22/26, 84.6%) reported a positive economic impact of integrated care models, respectively for type 2 diabetes mellitus (16/18, 88.9%), schizophrenia (4/6, 66.7%), and multiple sclerosis (1/2, 50%). Conclusion. In this systematic literature review, predominantly positive economic impacts of integrated care models for patients with chronic diseases were found.
Notes: Desmedt, M (reprint author), Hasselt Univ, Fac Med & Life Sci, Agoralaan Bldg D, B-3590 Diepenbeek, Hasselt, Belgium. melissa.desmedt@uhasselt.de
URI: http://hdl.handle.net/1942/22041
DOI: 10.1016/j.jval.2016.05.001
ISI #: 000385930500028
ISSN: 1098-3015
Category: A1
Type: Journal Contribution
Validation: ecoom, 2017
Appears in Collections: Research publications

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