SAFE@HOME: Cost analysis of a new care pathway including a digital health platform for women at increased risk of preeclampsia.
Pregnancy Hypertens
; 24: 118-123, 2021 Jun.
Article
de En
| MEDLINE
| ID: mdl-33813364
ABSTRACT
OBJECTIVE:
To perform a cost analysis of the use of a new care pathway with a digital health platform for blood pressure telemonitoring for women at risk of preeclampsia. STUDYDESIGN:
This is a cost analysis of a case-control study with women with chronic hypertension, history of preeclampsia, maternal cardiac or kidney disease at intake of pregnancy. Antenatal care with a reduced visit schedule and a digital health platform (SAFE@HOME, n = 97) was compared to a retrospective control group (n = 133) with usual care without self-monitoring. MAIN OUTCOMEMEASURES:
Costs per pregnancy () of healthcare consumption of antenatal clinic visits, ultrasound assessments, antenatal admissions, laboratory and other diagnostic tests, and societal costs such as traveling and work absence.RESULTS:
Baseline characteristics and perinatal outcomes were similar between both groups. A significant reduction of antenatal visits, ultrasounds and hypertension-related admissions was associated with use of the digital platform. In the SAFE@HOME group, costs of antenatal care, including the costs of the digital platform, were 19.7% lower compared to the control group (median 3616 [IQR 3071 - 5329] vs 4504 [IQR 3515-6923], p = 0.001). Total costs per pregnancy, including societal costs, were also reduced (7485 [IQR 6338-10,173] vs 9150, [IQR 7546-12,286] p < 0.001). Each euro invested in the platform saved on average 8 of antenatal care resources.CONCLUSION:
The use of a digital platform for blood pressure and symptom monitoring in antenatal care for high-risk women is associated with lower costs compared to conventional care, while observed maternal and neonatal outcomes are similar.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Complications de la grossesse
/
Prise en charge prénatale
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Pression sanguine
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Télémédecine
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Surveillance ambulatoire de la pression artérielle
Type d'étude:
Diagnostic_studies
/
Etiology_studies
/
Guideline
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Health_economic_evaluation
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Observational_studies
/
Risk_factors_studies
Limites:
Adult
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Female
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Humans
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Pregnancy
Langue:
En
Journal:
Pregnancy Hypertens
Année:
2021
Type de document:
Article
Pays d'affiliation:
Pays-Bas