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Published on: August 1, 2019
The implementation costs of an electronic prevention programme in Belgian general practice.
Neree Claes1, Jacobs Nele, Jan van Mierlo
1Faculty of Business Economics, Patient Safety, Hasselt University, Diepenbeek, Belgium. neree.claes@uhasselt.be
The European Journal of General Practice
|February 4, 2010
Summary
Implementing an electronic prevention program (EPP) for cardiovascular disease is feasible and cost-effective for general practitioners (GPs). The study found the mean cost per installation to be acceptable, with potential for further reduction.
Area of Science:
- Health Informatics
- Cardiovascular Disease Prevention
- Health Economics
Background:
- Cardiovascular disease (CV) prevention guidelines exist, but implementation remains a challenge.
- An electronic prevention programme (EPP) with a risk calculator was developed for general practitioners (GPs).
- This study quantifies the implementation cost of the EPP.
Purpose of the Study:
- To calculate the implementation cost per installation of the EPP.
- To assess the economic feasibility of adopting the EPP in primary care settings.
Main Methods:
- Cost-effectiveness analysis integrated within a larger clinical trial.
- Prospective cost registration following EPP installation by GPs.
- Sensitivity analysis to evaluate cost variations based on educational methods and installation rates.
Main Results:
- 185 GPs participated; 102 successfully installed the EPP.
- Total implementation cost was €83,939, with a mean cost of €823 per installation.
- Sensitivity analysis indicated potential cost reduction through optimized group education and increased installations.
Conclusions:
- The implementation of an EPP for cardiovascular prevention is achievable.
- The calculated cost per installation is deemed acceptable for widespread adoption by GPs.
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