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Int. J. Environ. Res. Public Health 2013, 10(11), 5266-5283; doi:10.3390/ijerph10115266

Automatic Assessment of Socioeconomic Impact on Cardiac Rehabilitation

1
Cardiac Electrophysiology Unit, Hospital Clínic Universitari de Barcelona, Villarroel, 170, Barcelona 08036, Spain
2
Barcelona Digital Technology Centre, Roc Boronat, 117, 5th floor, Barcelona 08018, Spain
3
Universitat Autònoma de Barcelona, Campus UAB, Bellaterra 08193, Spain
4
Cardiac Rehabilitation Unit, Hospital Universitario Ramón y Cajal, Madrid 28034, Spain
Part of this work was completed while at Barcelona Digital Technology Centre.
*
Authors to whom correspondence should be addressed.
Received: 15 August 2013 / Revised: 8 October 2013 / Accepted: 14 October 2013 / Published: 25 October 2013
(This article belongs to the Section Health Economics)
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Abstract

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 €. View Full-Text
Keywords: cost-effectiveness analysis; healthcare policy; disability-adjusted life years; quality-adjusted life years; ICF; cardiac rehabilitation cost-effectiveness analysis; healthcare policy; disability-adjusted life years; quality-adjusted life years; ICF; cardiac rehabilitation
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This is an open access article distributed under the Creative Commons Attribution License (CC BY 3.0).

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MDPI and ACS Style

Calvo, M.; Subirats, L.; Ceccaroni, L.; Maroto, J.M.; de Pablo, C.; Miralles, F. Automatic Assessment of Socioeconomic Impact on Cardiac Rehabilitation. Int. J. Environ. Res. Public Health 2013, 10, 5266-5283.

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Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
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