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Results of a randomized controlled trial analyzing telemedically supported case management in the first year after living donor kidney transplantation - a budget impact analysis from the healthcare perspective

Author

Listed:
  • Klaus Kaier

    (Faculty of Medicine and Medical Center – University of Freiburg)

  • Silvia Hils

    (University of Freiburg)

  • Stefan Fetzer

    (Aalen University)

  • Philip Hehn

    (Faculty of Medicine and Medical Center – University of Freiburg)

  • Anja Schmid

    (University of Freiburg)

  • Dieter Hauschke

    (Faculty of Medicine and Medical Center – University of Freiburg)

  • Lioudmila Bogatyreva

    (Faculty of Medicine and Medical Center – University of Freiburg)

  • Bernd Jänigen

    (University of Freiburg)

  • Przemyslaw Pisarski

    (University of Freiburg)

Abstract

ᅟ We analyze one-year costs and savings of a telemedically supported case management program after kidney transplantation from the perspective of the German Healthcare System. Recipients of living donor kidney transplantation (N = 46) were randomly allocated to either (1) standard aftercare or (2) standard aftercare plus additional telemedically supported case management. A range of cost figures of each patient’s medical service utilization were calculated at month 3, 6 and 12 and analyzed using two-part regression models. In comparison to standard aftercare, patients receiving telemedically supported case management are associated with substantial lower costs related to unscheduled hospitalizations (mean difference: €3,417.46 per patient for the entire one-year period, p = 0.003). Taking all cost figures into account, patients receiving standard aftercare are associated, on average, with one-year medical service utilization costs of €10,449.28, while patients receiving telemedically supported case management are associated with €5,504.21 of costs (mean difference: € 4,945.07 per patient, p

Suggested Citation

  • Klaus Kaier & Silvia Hils & Stefan Fetzer & Philip Hehn & Anja Schmid & Dieter Hauschke & Lioudmila Bogatyreva & Bernd Jänigen & Przemyslaw Pisarski, 2017. "Results of a randomized controlled trial analyzing telemedically supported case management in the first year after living donor kidney transplantation - a budget impact analysis from the healthcare pe," Health Economics Review, Springer, vol. 7(1), pages 1-8, December.
    • Handle: RePEc:spr:hecrev:v:7:y:2017:i:1:d:10.1186_s13561-016-0141-3
    DOI: 10.1186/s13561-016-0141-3
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    References listed on IDEAS

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