cost-effectiveness of internet-based self-management compared with usual care in asthma成本效益的基于互联网的自我管理与常规治疗相比,哮喘.pdfVIP

Cost-Effectiveness of Internet-Based Self-Management Compared with Usual Care in Asthma 1,2 1 1 3 4 Victor van der Meer *, Wilbert B. van den Hout , Moira J. Bakker , Klaus F. Rabe , Peter J. Sterk , 2 1 1,3 Willem J. J. Assendelft , Job Kievit , Jacob K. Sont , on behalf of the SMASHING (Self-Management in Asthma Supported by Hospitals, ICT, Nurses and General Practitioners) Study Group 1 Department of Medical Decision Making, Leiden University Medical Center, Leiden, The Netherlands, 2 Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands, 3 Department of Pulmonology, Leiden University Medical Center, Leiden, The Netherlands, 4 Department of Respiratory Medicine, Academic Medical Center, Amsterdam, The Netherlands Abstract Background: Effectiveness of Internet-based self-management in patients with asthma has been shown, but its cost- effectiveness is unknown. We conducted a cost-effectiveness analysis of Internet-based asthma self-management compared with usual care. Methodology and Principal Findings: Cost-effectiveness analysis alongside a randomized controlled trial, with 12 months follow-up. Patients were aged 18 to 50 year and had physician diagnosed asthma. The Internet-based self-management program involved weekly on-line monitoring of asthma control with self-treatment advice, remote Web communications, and Internet-based information. We determined quality adjusted life years (QALYs) as measured by the EuroQol-5D and costs for health care use and absenteeism. We performed a detailed cost price analysis for the primary intervention. QALYs