Costo efectividad de un programa de rehabilitación cardiovascular modelo para personas post infarto agudo al miocardio en el Servicio de Salud Metropolitano Norte

Background: Secondary prevention programs are an essential part of comprehensive care of patients with cardiovascular disease (CVD), and its effectiveness in reducing morbidity or mortality has been proved. Aim: To determine the cost-effectiveness of a theoretical comprehensive cardiac rehabilitatio...

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Autores principales:	López-Montecinos,Paulina, Rebolledo S,Jame, Gómez L,José Miguel
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2016
Materias:	Cardiovascular Diseases Cost Effectiveness Health Care Costs Myocardial Infarction Rehabilitation
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000400006
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spelling	oai:scielo:S0034-988720160004000062016-07-01Costo efectividad de un programa de rehabilitación cardiovascular modelo para personas post infarto agudo al miocardio en el Servicio de Salud Metropolitano NorteLópez-Montecinos,PaulinaRebolledo S,JameGómez L,José Miguel Cardiovascular Diseases Cost Effectiveness Health Care Costs Myocardial Infarction Rehabilitation Background: Secondary prevention programs are an essential part of comprehensive care of patients with cardiovascular disease (CVD), and its effectiveness in reducing morbidity or mortality has been proved. Aim: To determine the cost-effectiveness of a theoretical comprehensive cardiac rehabilitation (CCR) outpatient program after Myocardial Infarction, to be implemented in a Chilean Public Health System. Material and Methods: We designed a theoretical protocol of a CCR program based on recommendations of international guidelines, but adapted to local needs. A cost analysis was developed. Life years due to premature death were estimated with and without participation in CCR. The gained life-years and cost-effectiveness of the program were thus calculated. Results: The annual cost of cardiac rehabilitation center is $ 64,407,065 Chilean pesos (CLP). The Incremental Cost Effectiveness Ratio (ICER) considering a reduction of late mortality of 25%, is $ 475,209.7 CLP per year of life gained. Since this figure is lower than one unit of per capita gross domestic product, the intervention is considered very cost-effective. Conclusions: A comprehensive cardiac rehabilitation program after myocardial infarction is very cost-effective in the context of its implementation in a public health service.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.144 n.4 20162016-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000400006es10.4067/S0034-98872016000400006
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Cardiovascular Diseases Cost Effectiveness Health Care Costs Myocardial Infarction Rehabilitation
spellingShingle	Cardiovascular Diseases Cost Effectiveness Health Care Costs Myocardial Infarction Rehabilitation López-Montecinos,Paulina Rebolledo S,Jame Gómez L,José Miguel Costo efectividad de un programa de rehabilitación cardiovascular modelo para personas post infarto agudo al miocardio en el Servicio de Salud Metropolitano Norte
description	Background: Secondary prevention programs are an essential part of comprehensive care of patients with cardiovascular disease (CVD), and its effectiveness in reducing morbidity or mortality has been proved. Aim: To determine the cost-effectiveness of a theoretical comprehensive cardiac rehabilitation (CCR) outpatient program after Myocardial Infarction, to be implemented in a Chilean Public Health System. Material and Methods: We designed a theoretical protocol of a CCR program based on recommendations of international guidelines, but adapted to local needs. A cost analysis was developed. Life years due to premature death were estimated with and without participation in CCR. The gained life-years and cost-effectiveness of the program were thus calculated. Results: The annual cost of cardiac rehabilitation center is $ 64,407,065 Chilean pesos (CLP). The Incremental Cost Effectiveness Ratio (ICER) considering a reduction of late mortality of 25%, is $ 475,209.7 CLP per year of life gained. Since this figure is lower than one unit of per capita gross domestic product, the intervention is considered very cost-effective. Conclusions: A comprehensive cardiac rehabilitation program after myocardial infarction is very cost-effective in the context of its implementation in a public health service.
author	López-Montecinos,Paulina Rebolledo S,Jame Gómez L,José Miguel
author_facet	López-Montecinos,Paulina Rebolledo S,Jame Gómez L,José Miguel
author_sort	López-Montecinos,Paulina
title	Costo efectividad de un programa de rehabilitación cardiovascular modelo para personas post infarto agudo al miocardio en el Servicio de Salud Metropolitano Norte
title_short	Costo efectividad de un programa de rehabilitación cardiovascular modelo para personas post infarto agudo al miocardio en el Servicio de Salud Metropolitano Norte
title_full	Costo efectividad de un programa de rehabilitación cardiovascular modelo para personas post infarto agudo al miocardio en el Servicio de Salud Metropolitano Norte
title_fullStr	Costo efectividad de un programa de rehabilitación cardiovascular modelo para personas post infarto agudo al miocardio en el Servicio de Salud Metropolitano Norte
title_full_unstemmed	Costo efectividad de un programa de rehabilitación cardiovascular modelo para personas post infarto agudo al miocardio en el Servicio de Salud Metropolitano Norte
title_sort	costo efectividad de un programa de rehabilitación cardiovascular modelo para personas post infarto agudo al miocardio en el servicio de salud metropolitano norte
publisher	Sociedad Médica de Santiago
publishDate	2016
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000400006
work_keys_str_mv	AT lopezmontecinospaulina costoefectividaddeunprogramaderehabilitacioncardiovascularmodeloparapersonaspostinfartoagudoalmiocardioenelserviciodesaludmetropolitanonorte AT rebolledosjame costoefectividaddeunprogramaderehabilitacioncardiovascularmodeloparapersonaspostinfartoagudoalmiocardioenelserviciodesaludmetropolitanonorte AT gomezljosemiguel costoefectividaddeunprogramaderehabilitacioncardiovascularmodeloparapersonaspostinfartoagudoalmiocardioenelserviciodesaludmetropolitanonorte
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Costo efectividad de un programa de rehabilitación cardiovascular modelo para personas post infarto agudo al miocardio en el Servicio de Salud Metropolitano Norte

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