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Cost-effectiveness of adherence-enhancing interventions: a systematic review
Tzahit Simon-Tuval1, Peter J Neumann2, Dan Greenberg1
1a Department of Health Systems Management, Guilford-Glazer Faculty of Business and Management and Faculty of Health Sciences , Ben-Gurion University of the Negev , Beer-Sheva , Israel.
Expert Review of Pharmacoeconomics & Outcomes Research
|January 7, 2016
Summary
Most adherence-enhancing interventions are cost-effective, saving money and improving health outcomes. Further research is needed to understand the long-term benefits of these interventions for patients.
Area of Science:
- Health Economics
- Public Health
- Intervention Science
Background:
- Patient adherence to health interventions is crucial for achieving healthcare goals but is often low, leading to significant avoidable costs.
- Economic evaluations of adherence-enhancing interventions are limited, with existing systematic reviews focusing narrowly on pharmaceuticals or specific diseases.
- Low adherence represents a substantial barrier to effective healthcare delivery and patient outcomes.
Purpose of the Study:
- To systematically review and assess the evidence on the cost-effectiveness of a wide range of adherence-enhancing interventions in healthcare.
- To determine the economic value of interventions designed to improve patient adherence to medications, medical devices, screening tests, and lifestyle behaviors.
- To synthesize findings from existing studies to inform future healthcare policy and research.
Main Methods:
- Conducted a systematic review of 43 original studies evaluating adherence-enhancing interventions.
- Assessed the cost-effectiveness and cost-saving potential of diverse interventions across various healthcare domains.
- Included interventions targeting adherence to medications, medical devices, screening tests, and lifestyle modifications.
Main Results:
- The majority of adherence-enhancing interventions reviewed were found to be cost-effective or even cost-saving.
- Significant variation in cost-effectiveness was observed across different types of interventions.
- Evidence suggests a positive economic return for many strategies aimed at improving patient adherence.
Conclusions:
- Adherence-enhancing interventions generally demonstrate favorable cost-effectiveness in healthcare settings.
- While most interventions are economically beneficial, their effectiveness varies by type, necessitating tailored approaches.
- Further investigation into the long-term sustainability of adherence improvements is essential for a comprehensive evaluation of intervention benefits.
Keywords:
adherencecompliancecostcost-effectiveness analysisquality adjusted life-year (QALY)systematic reviewMore Related Videos
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