Dataset Information

Cost-effectiveness of telephone or surgery asthma reviews: economic analysis of a randomised controlled trial.

ABSTRACT:

Background

Only about a third of people with asthma attend an annual review. Clinicians need to identify cost-effective ways to improve access and ensure regular review.

Aim

To compare the cost-effectiveness of nurse-led telephone with face-to-face asthma reviews.

Design of study

Cost-effectiveness analysis based on a 3-month randomised controlled trial.

Setting

Four general practices in England.

Method

Adults due an asthma review were randomised to telephone or face-to-face consultations. Trial nurses recorded proportion reviewed, duration of consultation, and abortive calls/missed appointments. Data on use of healthcare resources were extracted from GP records. Cost-effectiveness was assessed from the health service perspective; sensitivity analyses were based on proportion reviewed and duration of consultation.

Results

A total of 278 people with asthma were randomised to surgery (n = 141) or telephone (n = 137) review. Onehundred-and-one (74%) of those with asthma in the telephone group were reviewed versus 68 (48%) in the surgery group (P <0.001). Telephone consultations were significantly shorter (mean duration telephone = 11.19 minutes [standard deviation {SD} = 4.79] versus surgery = 21.87 minutes [SD = 6.85], P <0.001). Total respiratory healthcare costs per patient over 3 months were similar (telephone = pounds sterling 64.49 [SD = 73.33] versus surgery = pounds sterling 59.48 [SD = 66.02], P = 0.55). Total costs of providing 101 telephone versus 68 face-to-face asthma reviews were also similar (telephone = pounds sterling 725.84 versus surgery = pounds sterling 755.70), but mean cost per consultation achieved was lower in the telephone arm (telephone = pounds sterling 7.19 [SD = 2.49] versus surgery = pounds sterling 11.11 [SD = 3.50]; mean difference = - pounds sterling 3.92 [95% confidence interval = - pounds sterling 4.84 to pounds sterling 3.01], P <0.001).

Conclusions

Telephone consultations enable a greater proportion of asthma patients to be reviewed at no additional cost to the health service. This mode of delivering care improves access and reduces cost per consultation achieved.

SUBMITTER: Pinnock H

PROVIDER: S-EPMC1463186 | biostudies-literature | 2005 Feb

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Cost-effectiveness of telephone or surgery asthma reviews: economic analysis of a randomised controlled trial.

Pinnock Hilary H McKenzie Lynda L Price David D Sheikh Aziz A

The British journal of general practice : the journal of the Royal College of General Practitioners 20050201 511

<h4>Background</h4>Only about a third of people with asthma attend an annual review. Clinicians need to identify cost-effective ways to improve access and ensure regular review.<h4>Aim</h4>To compare the cost-effectiveness of nurse-led telephone with face-to-face asthma reviews.<h4>Design of study</h4>Cost-effectiveness analysis based on a 3-month randomised controlled trial.<h4>Setting</h4>Four general practices in England.<h4>Method</h4>Adults due an asthma review were randomised to telephone ...[more]

PMID: 15720933

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Dataset Information

Cost-effectiveness of telephone or surgery asthma reviews: economic analysis of a randomised controlled trial.

Background

Aim

Design of study

Setting

Method

Results

Conclusions

Publications

Cost-effectiveness of telephone or surgery asthma reviews: economic analysis of a randomised controlled trial.

Similar Datasets

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