Abstract
High prevalence chronic illnesses consume a substantial part of the healthcare budget. We present a cost-effectiveness comparison of the current standard treatment of type 2 diabetes mellitus patients in the Czech Republic with the PCMH (Patient-Centered Medical Home) concept applied in the USA. A randomized sample of 100 probands was chosen out of 1825 Prague diabetological outpatient facility patients. The real-world costs of treatment were calculated for this sample; simultaneously, the costs of the PCMH concept were modelled for the same sample of patients. Then, the outcomes of both technologies (concepts) were figured out using value engineering and multiple-criteria decision making methods (Saaty’s matrix and TOPSIS method). Although more expensive, the PCMH concept shows much higher outcome values, which reflects in a significantly higher cost-effectiveness. Preventive, focused and complex care similar to the PCMH concept can be beneficial due to decreasing complications and enhancing patient’s quality of life.
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Gajdoš, O., Juřičková, I., Otawova, R. (2015). Health Technology Assessment Models Utilized in the Chronic Care Management. In: Ortuño, F., Rojas, I. (eds) Bioinformatics and Biomedical Engineering. IWBBIO 2015. Lecture Notes in Computer Science(), vol 9043. Springer, Cham. https://doi.org/10.1007/978-3-319-16483-0_6
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DOI: https://doi.org/10.1007/978-3-319-16483-0_6
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