Economic and Societal Impact of a Systems-of-Care Approach for STEMI Management in Low and Middle-Income Countries: Insights from the TN STEMI Program

The TN STEMI Program was a multicenter, prospective, observational study conducted in Tamil Nadu, India, that assessed the effects of implementing the STEMI India Model for the management of STEMI. We discuss the economic and societal impact in this article. Given that the intervention resulted in a...

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Autores principales:	Varshini Neethi Mohan, Thomas Alexander, V. R. Muraleedharan, Ajit Mullasari, Jagat Narula, Umesh N. Khot, Brahmajee K. Nallamothu, Dharam J. Kumbhani
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2019
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/ab7d917487d74847943f8837e0841485
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id	oai:doaj.org-article:ab7d917487d74847943f8837e0841485
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spelling	oai:doaj.org-article:ab7d917487d74847943f8837e08414852021-12-02T09:44:32ZEconomic and Societal Impact of a Systems-of-Care Approach for STEMI Management in Low and Middle-Income Countries: Insights from the TN STEMI Program2214-999610.5334/aogh.2508https://doaj.org/article/ab7d917487d74847943f8837e08414852019-10-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2508https://doaj.org/toc/2214-9996The TN STEMI Program was a multicenter, prospective, observational study conducted in Tamil Nadu, India, that assessed the effects of implementing the STEMI India Model for the management of STEMI. We discuss the economic and societal impact in this article. Given that the intervention resulted in an absolute mortality reduction of 3.4%, we calculated a number needed to treat of 30 patients. At an annualized project cost of INR 15.11 million, this approximately calculates to INR 193,749 (USD 3,311) per life saved. The utility of the TN-STEMI Program can be estimated to be 1,108 life-years. This calculates to approximately INR 13,643 (USD 233) per life-year saved. Our estimates will likely be of particular interest to policy makers in low and middle-income countries, where financial and resource constraints pose a perennial public health challenge.Varshini Neethi MohanThomas AlexanderV. R. MuraleedharanAjit MullasariJagat NarulaUmesh N. KhotBrahmajee K. NallamothuDharam J. KumbhaniUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 85, Iss 1 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Varshini Neethi Mohan Thomas Alexander V. R. Muraleedharan Ajit Mullasari Jagat Narula Umesh N. Khot Brahmajee K. Nallamothu Dharam J. Kumbhani Economic and Societal Impact of a Systems-of-Care Approach for STEMI Management in Low and Middle-Income Countries: Insights from the TN STEMI Program
description	The TN STEMI Program was a multicenter, prospective, observational study conducted in Tamil Nadu, India, that assessed the effects of implementing the STEMI India Model for the management of STEMI. We discuss the economic and societal impact in this article. Given that the intervention resulted in an absolute mortality reduction of 3.4%, we calculated a number needed to treat of 30 patients. At an annualized project cost of INR 15.11 million, this approximately calculates to INR 193,749 (USD 3,311) per life saved. The utility of the TN-STEMI Program can be estimated to be 1,108 life-years. This calculates to approximately INR 13,643 (USD 233) per life-year saved. Our estimates will likely be of particular interest to policy makers in low and middle-income countries, where financial and resource constraints pose a perennial public health challenge.
format	article
author	Varshini Neethi Mohan Thomas Alexander V. R. Muraleedharan Ajit Mullasari Jagat Narula Umesh N. Khot Brahmajee K. Nallamothu Dharam J. Kumbhani
author_facet	Varshini Neethi Mohan Thomas Alexander V. R. Muraleedharan Ajit Mullasari Jagat Narula Umesh N. Khot Brahmajee K. Nallamothu Dharam J. Kumbhani
author_sort	Varshini Neethi Mohan
title	Economic and Societal Impact of a Systems-of-Care Approach for STEMI Management in Low and Middle-Income Countries: Insights from the TN STEMI Program
title_short	Economic and Societal Impact of a Systems-of-Care Approach for STEMI Management in Low and Middle-Income Countries: Insights from the TN STEMI Program
title_full	Economic and Societal Impact of a Systems-of-Care Approach for STEMI Management in Low and Middle-Income Countries: Insights from the TN STEMI Program
title_fullStr	Economic and Societal Impact of a Systems-of-Care Approach for STEMI Management in Low and Middle-Income Countries: Insights from the TN STEMI Program
title_full_unstemmed	Economic and Societal Impact of a Systems-of-Care Approach for STEMI Management in Low and Middle-Income Countries: Insights from the TN STEMI Program
title_sort	economic and societal impact of a systems-of-care approach for stemi management in low and middle-income countries: insights from the tn stemi program
publisher	Ubiquity Press
publishDate	2019
url	https://doaj.org/article/ab7d917487d74847943f8837e0841485
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Economic and Societal Impact of a Systems-of-Care Approach for STEMI Management in Low and Middle-Income Countries: Insights from the TN STEMI Program

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